While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?

A. Obtains client intake and output instead of delegating the task to an assistive personnel: While it may demonstrate initiative, effective time management involves delegating appropriate tasks to assistive personnel to maximize efficiency.
B. Skips lunch to catch up on client documentation: Skipping meals is not a sustainable or healthy time management strategy and may indicate poor self-care practices.
C. Reviews a client's medical record before performing a prescribed dressing change: This is the correct answer. Reviewing the client's medical record before performing a procedure ensures that the nurse is well-prepared and can perform the task efficiently and safely.
D. Documents medications administered throughout the shift at the end of the day: Documenting medications at the end of the day may lead to inaccuracies and delays in care. Timely and accurate documentation is essential for effective patient care.

A. A client who sustained a concussion and is being monitored for complications: This client would likely have stable neurological status and require monitoring for signs of complications such as increased intracranial pressure or neurological deterioration. It is suitable for a newly licensed nurse who needs to develop assessment and monitoring skills.
B. A client who has Guillain-Barré syndrome and a tracheostomy: Guillain-Barré syndrome can present with rapidly progressive weakness and respiratory compromise, requiring close
monitoring and interventions such as tracheostomy care. This assignment may be more appropriate for an experienced nurse due to the complexity of care.
C. A client who has multiple sclerosis and ataxia: Multiple sclerosis is a chronic neurological condition that can present with various symptoms, including ataxia. Depending on the severity of symptoms and care needs, this assignment may require a nurse with experience in managing neurological conditions.
D. A client who has a brain tumor and is admitted for chemotherapy: This client may require specialized care related to chemotherapy administration, symptom management, and neurological assessments. It may be more suitable for an experienced nurse with knowledge of oncology and neurology.