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?
Meet with nursing staff to review the policy regarding advance directives.
Reinforce the potential consequences of not having this information on record to the nursing staff.
Ask nurses who are caring for clients without this information in the medical record to obtain it.
Remind nurses to obtain this information during the admission process.
The Correct Answer is A
A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.
B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.
C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.
D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Referring the AP to the facility procedure manual does not provide immediate support or correct the unsafe practice observed. It may not address the situation in real-time.
B. While instructing the AP to request assistance is important for future situations, it does not immediately rectify the incorrect technique being used at that moment.
C. While demonstrating the correct technique is valuable, the immediate priority is ensuring the client’s safety by assisting with the current transfer. A demonstration should follow after the immediate risk has been managed.
D. The first priority is client safety. If the nurse manager observes an incorrect transfer technique, the immediate response should be to intervene to prevent injury to the client or the AP. Assisting with the transfer ensures that the client is safely positioned while also providing an opportunity to correct the AP's actions in real time.
Correct Answer is D
Explanation
A. Restraints should be tied using a quick-release knot, not a square knot. A quick-release knot allows for easy removal in emergencies.
B. A provider cannot write a prescription for restraints "as needed" because restraints must be prescribed for a specific duration and reason, ensuring they are used safely and appropriately.
C. Restraints should be removed as soon as they are no longer necessary, typically every 2 hours, not every 4 hours, to ensure the client's comfort and safety.
D. Restraints should always be secured to a part of the bed frame that moves with the client’s position. This prevents excessive tightening or loosening of the restraint, which could cause injury or compromise circulation. Restraints should never be tied to side rails, as this can lead to serious harm if the rails are moved.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.