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. Monitoring blood glucose is crucial for managing diabetes, as it directly affects the child's blood sugar levels and overall well-being. However, if the child’s blood glucose levels are stable and there are no immediate concerns or symptoms, this task, while important, may not be as urgent as assessing more critically ill clients.
B. While discharge instructions are important for ensuring proper care after leaving the hospital, this task generally does not require immediate attention compared to assessing a client with more acute or urgent needs. The adolescent is ready for discharge, indicating their condition is stable enough to prepare for leaving the unit.
C. Feeding a toddler who has both arms in casts is important for ensuring that the child is well-nourished and comfortable. However, this task can usually be managed by assistive personnel or done at a scheduled time without immediate urgency compared to more critical assessments.
D. An infant with pertussis (whooping cough) receiving oxygen via nasal cannula is in a potentially critical situation. Pertussis can cause significant respiratory distress, and the need for oxygen indicates the
infant’s respiratory function is compromised. Assessing this infant first is crucial to ensure that the oxygen therapy is effective and to monitor for any signs of deterioration in respiratory status.

A. Synthesis B. Evaluation C. Analysis D. Intuition E. Interpretation

Correct Answer is ["A","B","C","E"]

Explanation

A. This involves combining different pieces of information to form a new understanding or solution. Nurses often synthesize information from various sources to develop a comprehensive care plan.

B. This involves judging the value or worth of something. Nurses must constantly evaluate the effectiveness of interventions and patient outcomes.
C. This involves breaking down information into parts to understand its components. Nurses analyze patient data to identify problems and potential solutions.
D. While intuition can play a role in decision-making, it is not a reliable or consistent critical thinking skill. Critical thinking relies on evidence and reasoning, not solely on gut feelings.
E. This involves understanding the meaning of information. Nurses interpret patient cues, laboratory results, and other data to make informed decisions.

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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

A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

Correct Answer is D

Explanation

A nurse manager is planning a presentation for staff nurses on improving critical thinking skills. Which of the following critical thinking skills should the nurse manager include in the presentation? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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