A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?
The emergency department nurse is waiting to give report on a new admission.
Two staff members have called to say they will be absent.
A nurse on the previous shift wrote an incident report about a medication error.
Transport assistance is unavailable to take a client to occupational therapy.
The Correct Answer is A
A. this is the correct choice because this situation is the most urgent and requires immediate action. The charge nurse should prioritize the new admission and assign a staff nurse to receive the report and prepare the room for the client. The charge nurse should also ensure that the client's needs are met and that the admission process is smooth and efficient.
B. This is not the correct choice because this situation is not as urgent as the new admission and can be addressed later. The charge nurse should plan the staffing for the shift and arrange for replacements or reassignments if necessary. The charge nurse should also communicate with the staff members who called in and document their reasons for absence.
C. the medication error report can be done later
D. transport to occupational therapy is not urgent and can wait
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Related Questions
Correct Answer is D
Explanation
A physical therapist assists clients in improving their mobility, coordination and balance. This can help prevent contractures and muscle wasting in the stroke client.
A. An occupational therapist assists clients with functional skills required to perform activities of daily living such as toileting.
B. A social worker links clients with financial constraints and other social obstacles to programs that can allow them to cater for their healthcare needs.
C. A dietitian deals with nutritional requirements through education.
Correct Answer is C
Explanation
Inability to void will cause bladder distention which is a common trigger to autonomic dysreflexia. Autonomic dysreflexia is an emergency as it leads to severe and sudden rise in blood pressure.
A. Peripheral vascular disease leads to decreased or absent blood flow to the distal extremities which is limb threatening. This client require review but not as urgent as A
B. Fever in an expected finding in an infectious process such as MRSA as part of the body’s response.
D. Newly diagnosed client with cancer requires emotional support before chemotherapy which is not an emergency.
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