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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A urine output of less than 30 mL/hour is considered oliguria and is a critical finding that requires immediate notification to the provider. It could indicate potential complications such as dehydration, hypovolemia, or renal impairment.
B. While pain management is important, a decrease in pain is expected after administering morphine. This is not a critical finding that requires immediate notification to the provider.
C. A small amount of serosanguineous drainage is expected in the early postoperative period. It would only be a concern if the drainage was excessive, bright red, or increasing in amount.
D. Postoperative laboratory results are Hgb 15% and Hct 40% are within normal ranges and do not require immediate notification to the provider.
Correct Answer is B
Explanation
A. Negligence involves failing to provide care that a reasonably prudent person would, resulting in harm. Leaving a computer terminal unattended, while not ideal, doesn't necessarily rise to the level of negligence unless it leads to a specific harm.
B. This is the most accurate choice. Leaving a computer terminal unattended with login credentials accessible to others is a breach of confidentiality and security protocols, which are fundamental aspects of professional nursing practice.
C. Malpractice is professional negligence. While leaving a computer unattended could potentially lead to a breach of patient privacy, it doesn't inherently constitute malpractice unless it results in harm to a patient.
D. Defamation involves making false statements that harm someone's reputation. Leaving a computer unattended is not related to defamation.
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