A float nurse is given a client assignment that requires the use of unfamiliar skills and techniques. Which of the following actions should the nurse take?
Provide client care as assigned.
Make a formal complaint to the nursing manager.
Request the charge nurse to modify the assignment.
Ask another nurse to trade assignments.
The Correct Answer is D
A. Provide client care as assigned:
While it is essential to be flexible and adaptable, patient safety is a priority. If the nurse is not familiar with certain skills or techniques and believes it could compromise patient safety, blindly providing care may not be the best option.
B. Make a formal complaint to the nursing manager:
Making a formal complaint should not be the initial step. It is better to explore other options before escalating the situation to a higher level.
C. Request the charge nurse to modify the assignment:
This is a reasonable option. The nurse can communicate concerns to the charge nurse and request modifications to the assignment based on their skills and competency.
D. Ask another nurse to trade assignments:
This is the most immediate and practical solution. If there's another nurse available who is more familiar with the required skills, trading assignments can ensure that the patient receives appropriate care from a nurse with the necessary expertise.
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Related Questions
Correct Answer is B
Explanation
A. Offer to request a prescription for an indwelling urinary catheter.
Indwelling urinary catheters come with their own set of risks and complications. It is generally not recommended to use them solely for the purpose of preventing falls unless there are other medical indications for their use. Catheters increase the risk of infection and other complications, and their use should be based on clear medical necessity.
B. Keep a night light on in the client's room.
This option directly addresses the client's concern about falling during the night. Providing a night light in the room helps to alleviate disorientation, making it safer for the client to navigate to the bathroom. It is a practical and non-invasive intervention.
C. Put the side rails up and tell the client to call for assistance to the bathroom.
While using side rails can be a fall prevention measure, it's important to consider that they are not without risks. Side rails can lead to entrapment or injury if not used appropriately. In addition, telling the client to call for assistance is good advice, but relying solely on this instruction may not address the immediate concern of disorientation in new surroundings.
D. Limit the client's fluid intake in the evening.
While limiting fluid intake in the evening might reduce the frequency of bathroom trips, it is not the most appropriate response to the client's concern. Dehydration can lead to other health issues and should not be used as the primary strategy for fall prevention.
Correct Answer is B
Explanation
A. Palliative care focuses on providing comfort and relief from symptoms for individuals with serious illnesses, often those with life-limiting conditions. Respite care is not specifically designed for palliative care but can complement it by offering temporary relief to caregivers.
B. Respite care is a form of temporary care that allows caregivers a break or time off from their responsibilities. It is intended to provide short-term relief and support for family members or caregivers who are taking care of individuals with chronic illnesses, disabilities, or age-related conditions.
C. Restorative care involves interventions and services aimed at improving an individual's functional abilities and promoting independence. Respite care is not primarily focused on restorative care but rather on giving caregivers a temporary break.
D. Pain management is a specialized area of care that focuses on assessing and treating pain. Respite care, while it may involve managing symptoms during the temporary care period, is not specifically designed for pain management.
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