A member of the team has been delegated some tasks and reports, "I've been given too much to do and I'm not going to be able to complete the work on time." What is the RN's best initial action?

Have the team member perform only the most necessary tasks

Take on the responsibility of the tasks

Assign the work to another team member

Examine the workload and assist the individual in reprioritizing

Answer and Explanation

The Correct Answer is D

A.   While prioritizing tasks is important, simply instructing the team member to focus on the most necessary tasks does not address the root of the problem. It may not provide the support or resources needed to effectively manage their workload.
B.   While this might seem helpful in the short term, it does not empower the team member or address the issue of workload management. Taking on too much responsibility can also lead to burnout for the RN and is not a sustainable solution.
C.   This option does not consider the needs of the original team member and may disrupt teamwork or create additional stress for other staff. It’s important to address the workload collaboratively rather than simply redistributing it without context.
D.   This is the best initial action. By examining the workload together, the RN can help the team member identify which tasks are most critical and which can be deferred or delegated. This approach fosters collaboration, empowers the team member, and ensures that patient care needs are met efficiently.

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Correct Answer is D

Explanation

A. While it's important to obtain a formal DNR order, the nurse should not delay providing emergency care while waiting for the order. The client's immediate needs take precedence.
B. The risk manager can provide guidance and support, but they cannot provide immediate medical care. The nurse's priority should be to provide emergency care to the client.
C. Even in the absence of a formal DNR order, the nurse has a legal and ethical duty to provide emergency care to a client who is in cardiac or respiratory arrest.
D. This is the most appropriate action. The nurse should immediately call the emergency response team to initiate resuscitation efforts. While waiting for the team to arrive, the nurse should continue to provide basic life support measures, such as CPR and rescue breathing. Once the emergency response team arrives, they will take over the resuscitation efforts and obtain a formal DNR order from the provider if necessary.

A. Oncology nurse B. Assistive personnel C. Phlebotomist D. Senior nursing student

Correct Answer is A

Explanation

A. An oncology nurse is a licensed nurse who is knowledgeable about blood transfusions and patient safety protocols. They are qualified to double-check the blood label against the client ID bracelet, as they understand the importance of this process in preventing transfusion reactions.
B. Assistive personnel (like nursing assistants or aides) typically do not have the training or authority to perform safety checks on blood products. They are generally involved in basic care tasks and do not have the necessary knowledge to verify blood transfusion details.
C. While phlebotomists are trained in drawing blood and may understand some aspects of blood work, they typically do not have the authority or training to verify blood products for transfusion. This task requires nursing judgment and knowledge of patient safety protocols.
D. A senior nursing student may have some knowledge of blood transfusion protocols, but they typically do not have the full licensure or experience of a registered nurse. While they may assist with many tasks, they should not be responsible for critical safety checks like verifying blood products for transfusion without supervision from a licensed nurse

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A member of the team has been delegated some tasks and reports, "I've been given too much to do and I'm not going to be able to complete the work on time." What is the RN's best initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters a client's room and finds the client pulseless. The family has requested a do-not- resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify that which of the following persons is qualified?

Correct Answer is A

Explanation

The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome?.

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A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was negligent is which of the following?

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What is the most likely reason a patient would discontinue their prescribed hydroxyurea?

In which situation would the nurse be justified in overriding a client's right to confidentiality?

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