A nurse is delegating care to assistive personnel. Which of the following assignments should the nurse make?

A) Asking a staff member from another unit to complete the evaluation: While involving someone from another unit may offer an external perspective, it may not necessarily ensure impartiality. The evaluator should have direct knowledge of the nurse's performance to provide a fair assessment.

B) Focusing primarily on areas that need improvement: This approach may lead to a biased evaluation, as it overlooks the nurse's strengths and positive contributions. A comprehensive evaluation should consider both areas of strength and areas needing improvement to provide a balanced assessment.

C) Discussing the evaluation with the nurse manager: Consulting with the nurse manager about the evaluation could introduce bias, especially if the manager has preconceived notions about the nurse being evaluated. Peer evaluations should aim to be independent of managerial influence to maintain impartiality.

D) Linking the evaluation to predetermined standards: This is the correct approach to ensure impartiality in peer evaluation. By using predetermined standards or criteria, the evaluation process becomes objective and transparent. Evaluators can assess the nurse's performance against established benchmarks, reducing the influence of personal bias.

A) Place the client close to the nurses' station:

While placing the client closer to the nurses' station may enhance supervision and monitoring, it does not address the immediate safety concern of preventing the client from removing the IV catheter again. This action may be considered after implementing measures to prevent further self-harm.

B) Cover the site with a stockinette dressing:

Covering the site with a dressing is important for maintaining a sterile environment around the IV site. However, if the client is disoriented and has already removed the IV catheter, simply covering the site may not prevent further attempts to remove it. Addressing the underlying issue of the client's behavior is necessary.

C) Administer a sedative:

Administering a sedative may be appropriate in certain situations to calm an agitated or disoriented client. However, it should not be the first action taken after observing the reinsertion of the IV catheter. Sedation should be used judiciously and only after other interventions to ensure the client's safety have been attempted.

D) Apply a soft mitten restraint:

This is the most appropriate action to prevent the client from removing the IV catheter again. A soft mitten restraint limits the client's ability to access the IV site while allowing some movement and comfort. It is a temporary measure to ensure the safety of the client and the integrity of the IV line until further assessment and interventions can be implemented.