A client's daughter phones the charge nurse to report that the night nurse did not provide good care for her mother. Which response should the practical nurse (PN) make?
Explain that all of the staff are doing the best they can.
Tell the daughter to talk with the unit's nurse manager.
Reassure the daughter that the mother will get better care.
Ask for a description of what happened during the night.
The Correct Answer is D
When a client's family member expresses concerns about the care provided, it is essential for the nurse to gather more information and understand the specific issues raised. By asking for a description of what happened during the night, the nurse can obtain details about the perceived inadequate care. This allows the nurse to gather accurate information, assess the situation, and address any legitimate concerns.
A. Explaining that all staff are doing their best may not address the specific issues raised by the daughter and may not provide a satisfactory resolution to her concerns.
B. Telling the daughter to talk with the unit's nurse manager can be an appropriate step, but it should come after gathering information about the situation. The nurse needs to have a clear understanding of what happened before involving the nurse manager.
C. Reassuring the daughter that the mother will get better care may not address her concerns and may not provide a solution to the perceived problem. It is important to gather more information before offering reassurance or making promises.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When the practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) consistently records subnormal temperatures when using the thermometer, the first action the PN should take is to observe how the UAP obtains temperatures. This allows the PN to directly assess the UAP's technique and determine if any errors or inaccuracies are occurring during temperature measurement. By observing the process, the PN can identify any potential issues, such as incorrect placement of the thermometer or improper technique, and provide appropriate guidance and education.
Correct Answer is A
Explanation
The presence of a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor indicates the possibility of infection in the wound. Evaluating the client's C-reactive protein (CRP) level can provide information about the presence and severity of inflammation and infection. CRP is an acute-phase reactant produced by the liver in response to inflammation. An elevated CRP level suggests an active inflammatory process, which can help in determining the need for further assessment and treatment, such as wound cultures or antibiotics.
Here's why the other options are incorrect:
B- Serum blood glucose (BG) level: While diabetes and elevated blood glucose levels can increase the risk of infection and delay wound healing, in this case, the presentation of redness, swelling, drainage, and odor suggests a possible wound infection. Evaluating the client's blood glucose level is important for the overall management and control of diabetes, but it is not the first priority when assessing a potentially infected wound.
C- Serum albumin: Serum albumin is a measure of the client's nutritional status and can provide information about the client's overall protein levels. While malnutrition can affect wound healing, in this scenario, the priority is to assess for signs of infection and inflammation. Addressing the wound infection takes precedence over evaluating the client's serum albumin level.
D- Culture for sensitive organisms: Obtaining a wound culture for sensitive organisms may be necessary to identify the specific bacteria causing the infection and determine the appropriate antibiotic treatment. However, before performing a wound culture, it is important to assess the severity of the wound infection and determine the need for further intervention. Evaluating the client's CRP level is a more immediate and readily available assessment to determine the presence and severity of inflammation.
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