A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?

Complete similar tasks for all clients before moving on to the next task.

Document nursing interventions as they are completed.

Skip breaks to complete tasks if short on time.

Complete the lowest priority task at the beginning of the shift.

None

Answer and Explanation

The Correct Answer is B

A. Complete similar tasks for all clients before moving on to the next task:
While grouping similar tasks can be helpful, it may not always be the most efficient if client needs vary. Flexibility is needed to address immediate priorities.

B. Document nursing interventions as they are completed:
This ensures that documentation is accurate and timely, preventing delays and reducing the risk of forgetting important details later.

C. Skip breaks to complete tasks if short on time:
Skipping breaks is not a good time-management strategy. Breaks help prevent burnout and maintain productivity.

D. Complete the lowest priority task at the beginning of the shift:
Low-priority tasks should not be prioritized first; urgent, higher-priority tasks should be completed first to ensure client safety and care efficiency.

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Correct Answer is A

Explanation

A. Documenting the client's refusal in their chart is crucial for maintaining accurate records and ensuring that the refusal is properly documented for legal and medical purposes.
B. While checking the client's blood alcohol level may be relevant to the situation, it should not be done without the client's consent or a valid medical reason.
C. Assessing the client for urinary retention is not indicated in this scenario, as the client's refusal to provide a urine sample does not necessarily indicate urinary retention.
D. Informing the client that a catheter will be inserted without their consent is not appropriate and violates the client's autonomy.

A. A client who sustained a concussion and is being monitored for complications B. A client who has Guillain-Barré syndrome and a tracheostomy C. A client who has multiple sclerosis and ataxia D. A client who has a brain tumor and is admitted for chemotherapy

Correct Answer is A

Explanation

A. A client who sustained a concussion and is being monitored for complications: This client would likely have stable neurological status and require monitoring for signs of complications such as increased intracranial pressure or neurological deterioration. It is suitable for a newly licensed nurse who needs to develop assessment and monitoring skills.
B. A client who has Guillain-Barré syndrome and a tracheostomy: Guillain-Barré syndrome can present with rapidly progressive weakness and respiratory compromise, requiring close
monitoring and interventions such as tracheostomy care. This assignment may be more appropriate for an experienced nurse due to the complexity of care.
C. A client who has multiple sclerosis and ataxia: Multiple sclerosis is a chronic neurological condition that can present with various symptoms, including ataxia. Depending on the severity of symptoms and care needs, this assignment may require a nurse with experience in managing neurological conditions.
D. A client who has a brain tumor and is admitted for chemotherapy: This client may require specialized care related to chemotherapy administration, symptom management, and neurological assessments. It may be more suitable for an experienced nurse with knowledge of oncology and neurology.

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A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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