A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?

Choice A Reason:
Having the client sign a consent for treatment is not appropriate. In emergency situations where a patient's life or health is in immediate danger, obtaining written consent may not be feasible or appropriate. The priority is to provide necessary medical treatment and stabilize the patient's condition. Consent may be obtained verbally if possible, but it should not delay urgent interventions.
Choice B Reason:
Contacting the client's next of kin to obtain consent for treatment is not appropriate. While it's important to involve the patient's family or next of kin in decision-making when possible, obtaining consent from them in an emergency may not be practical or timely. The focus should be on providing immediate medical care to stabilize the patient.
Choice C Reason:
Notifying risk management before initiating treatment is not appropriate. Risk management concerns are important in healthcare settings, but in emergency situations where a patient's life is at risk, the priority is to provide urgent medical care. Risk management can be addressed after the patient has been stabilized.
Choice D Reason:
Proceeding with treatment without obtaining written consent is appropriate. In emergency situations, healthcare providers have a duty to provide care without delay to stabilize the patient's condition. Written consent may be obtained later if the patient becomes stable or when circumstances allow. The primary focus is on providing necessary medical interventions to address the disorientation and cardiac arrhythmia.

Choice A Reason:
Obtaining client intake and output instead of delegating the task to an assistive personnel, may or may not indicate effective time management. It depends on the specific circumstances and urgency of other tasks. Delegating appropriate tasks to assistive personnel can be a component of effective time management when done judiciously.
Choice B Reason:
Documenting medications administered throughout the shift at the end of the day, is not indicative of effective time management. Delaying documentation until the end of the day can lead to inaccuracies, omissions, and potential safety concerns. Timely documentation is essential for maintaining accurate and up-to-date records.
Choice C Reason:
Reviewing a client's medical record before performing a prescribed dressing change is correct. Effective time management involves prioritizing tasks, organizing workflow efficiently, and completing tasks in a timely manner while maintaining quality of care. Option C demonstrates effective time management because reviewing a client's medical record before performing a prescribed dressing change ensures that the nurse is prepared and has all necessary information to perform the task accurately and safely. This action indicates proactive planning and organization, which are key aspects of effective time management.
Choice D Reason:
Skipping lunch to catch up on client documentation, is not indicative of effective time management. Skipping meals can negatively impact the nurse's well-being and ability to provide safe and effective care. Effective time management involves finding a balance between completing tasks efficiently and taking breaks to maintain personal health and well-being.