A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?
Demonstrate use of the pump during medication administration.
Pair an inexperienced nurse with an experienced nurse.
Plan an in-service education program on the unit.
Contact the manufacturer of the pump for assistance.
The Correct Answer is C
Choice A reason: Demonstrating use of the pump during medication administration is not the priority action by the charge nurse. This would not ensure that all staff nurses are competent and confident in using the new pump. It would also interrupt the workflow and patient care.
Choice B reason: Pairing an inexperienced nurse with an experienced nurse is not the priority action by the charge nurse. This would not address the knowledge gap of the staff nurses who are not paired. It would also create a dependency on the experienced nurse and a potential risk for errors.
Choice C reason: Planning an in-service education program on the unit is the priority action by the charge nurse. This would provide the staff nurses with the opportunity to learn about the new pump, its features, functions, and troubleshooting. It would also allow the charge nurse to assess the staff nurses' learning needs and evaluate their competency.
Choice D reason: Contacting the manufacturer of the pump for assistance is not the priority action by the charge nurse. This would not address the immediate needs of the staff nurses who are using the new pump. It would also depend on the availability and responsiveness of the manufacturer.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Suggesting that the client read articles that recommend specific treatments for Crohn's disease is not an action the nurse should take. This is an inappropriate and potentially harmful action, as the nurse should not endorse any treatments that are not prescribed by the provider. The nurse should also avoid giving the client unreliable or biased sources of information.
Choice B reason: Recommending podcasts that discuss Crohn's disease to the client is not an action the nurse should take. This is an ineffective and insufficient action, as the nurse should not rely on podcasts as the primary source of education for the client. The nurse should also assess the quality and credibility of the podcasts before suggesting them to the client.
Choice C reason: Encouraging the client to research Crohn's disease on websites that have a .gov address is an action the nurse should take. This is an appropriate and helpful action, as the nurse should promote the client's self-education and empowerment. The nurse should also guide the client to use websites that have a .gov address, as they are more likely to provide accurate and evidence-based information.
Choice D reason: Asking a licensed practical nurse to explain Crohn's disease to the client is not an action the nurse should take. This is an irresponsible and unprofessional action, as the nurse should not delegate the task of client education to a licensed practical nurse. The nurse should provide the client with clear and comprehensive information about their condition and answer any questions they may have.
Correct Answer is C
Explanation
Choice A reason: A client who has a displaced femur fracture from a fall is a priority client, but not the highest priority. The nurse should assess the client for signs of bleeding, infection, nerve damage, and compartment syndrome, and provide pain relief and immobilization. However, the client's condition is not as urgent or life-threatening as the other clients.
Choice B reason: A client who is experiencing severe vomiting and diarrhea with tachycardia is a priority client, but not the highest priority. The nurse should assess the client for signs of dehydration, electrolyte imbalance, and shock, and provide fluid and electrolyte replacement and antiemetic medication. However, the client's condition is not as urgent or life-threatening as the other clients.
Choice C reason: A client who is confused and has slurred speech is the highest priority client, as these are signs of a possible stroke, which is a medical emergency. The nurse should assess the client for other signs of stroke, such as facial drooping, arm weakness, and vision problems, and initiate the stroke protocol, which includes calling for help, obtaining a CT scan, and administering thrombolytic therapy if indicated.
Choice D reason: A client who has chemical burns covering 20% of the total body surface area is a priority client, but not the highest priority. The nurse should assess the client for signs of airway injury, infection, and fluid loss, and provide wound care, pain relief, and fluid resuscitation. However, the client's condition is not as urgent or life-threatening as the other clients.
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