A charge nurse is determining client acuity levels. The nurse should consider the time spent completing which of the following tasks when determining acuity?

Assisting others

Medication administration

Meal breaks

Charting

Answer and Explanation

The Correct Answer is B

A.   While assisting others is an important aspect of nursing care, it generally does not directly reflect the acuity of clients. Assisting colleagues might involve helping with tasks, offering support, or collaborating on care, but it is more related to teamwork and overall unit dynamics rather than directly indicating the complexity or intensity of care needed by individual clients.

B.   Medication administration is a significant factor in determining client acuity. The complexity and frequency of medications, the need for monitoring and adjustments, and the administration of high-risk medications (e.g., anticoagulants, insulin) all contribute to the overall acuity level. High acuity clients often require more complex medication management, which demands more time and attention from nursing staff.
C.   Meal breaks are a necessary part of a nurse’s schedule but are not related to client acuity. Meal breaks are periods of rest and are essential for maintaining the nurse’s well-being and productivity. However, they do not affect the level of care required by clients or the determination of client acuity.
D.   Charting is a crucial component of nursing care that reflects the time spent documenting client information, assessments, and care provided. While charting is essential for legal documentation, communication, and continuity of care, it is not a direct indicator of client acuity.

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Correct Answer is D

Explanation

A. Teaching a client how to use an incentive spirometer involves providing detailed instruction and education about the device and its use. This task requires clinical knowledge and the ability to assess and address the client’s understanding, which is beyond the scope of an AP.
B. Irrigating and performing a dressing change on a pressure injury wound is a clinical task that requires specific training and skill, including knowledge of wound care, infection control, and assessment of wound healing. This is typically performed by an RN or another licensed healthcare professional. This task involves clinical judgment and assessment, which are beyond the training of an AP.
C. Administering medication, including PRN (as needed) pain medication, involves assessing the client’s condition, verifying the medication order, and monitoring for effects and side effects. This task requires a licensed nurse who can perform these assessments and make clinical decisions.
D. Obtaining a daily weight is a task that is within the scope of practice for an AP. Weighing a client does not require clinical judgment or complex decision-making and is typically considered a routine task that can be safely delegated to an AP. This task involves measuring and recording the client’s weight, which is an objective and straightforward task.

A. Skip a meal break to catch up on charting. B. Plan time for disruptions C. Offer to complete another nurse's task. D. Complete the easiest tasks first.

Correct Answer is B

Explanation

A. This is not a time management strategy but rather a counterproductive approach that can lead to burnout and decreased focus.
B. This is an effective time management strategy as it acknowledges the reality of interruptions in a healthcare setting. By anticipating and planning for disruptions, nurses can better manage their workload and avoid feeling overwhelmed.
C. While helping colleagues is important, offering to complete another nurse's task without considering one's own workload can lead to time management issues.
D. This can be a time management strategy in some situations, but it's not always the most effective approach. Prioritizing tasks based on urgency and importance is often more beneficial.

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A charge nurse is determining client acuity levels. The nurse should consider the time spent completing which of the following tasks when determining acuity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is B

Explanation

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