A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

A client is refusing care from assistive personnel of the opposite gender

No transport assistance is available to take a client to physical therapy

Two nurses had a heated disagreement about a scheduling issue

Three staff members have called to say they will be absent

Answer and Explanation

The Correct Answer is D

A. A client refusing care from assistive personnel of the opposite gender is important and must be handled to respect the client's preferences, but it does not immediately impact the overall functioning of the unit or client safety. This situation can be addressed after the staffing issue.

B. No transport assistance being available for a client to go to physical therapy is a logistical issue that can be resolved with alternative arrangements, such as rescheduling the therapy or finding different personnel for transport. It is not a critical priority compared to staffing shortages.

C. A heated disagreement between two nurses over a scheduling issue is a team dynamic problem that requires attention, but it is not urgent enough to affect patient safety or unit operations in the immediate term. Resolving staffing shortages takes precedence.

D. Addressing the absence of three staff members is critical as it directly affects patient care and safety. A shortage in staff can lead to unsafe working conditions, delays in client care, and an increased risk of errors. Ensuring adequate staffing is the highest priority in this situation

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Correct Answer is A

Explanation

a. Decreased level of consciousness is a critical finding in a client with meningitis and may indicate worsening intracranial pressure or neurological deterioration, requiring immediate intervention.
b. While an increased temperature may indicate infection, it is not as immediately concerning as a decreased level of consciousness in a client with meningitis.
c. A generalized rash over the trunk may be present in some types of meningitis, but it is not as immediately urgent as a decreased level of consciousness.
d. Photophobia (sensitivity to light) is a common symptom of meningitis but may not require immediate intervention unless accompanied by other concerning neurological findings such as a decreased level of consciousness.

A. Document in the client’s chart that an incident report has been filed B. Call risk management to interview the client C. Contact the nurse manager D. Reassure the client that the staff is well trained

Correct Answer is C

Explanation

a. While documenting that an incident report has been filed is important, it should not be the first action taken. The nurse should first take steps to address the issue.
b. In this situation, contacting risk management may be necessary, but the immediate priority should be to address the client's concerns and ensure appropriate follow-up.
c. Contacting the nurse manager is the appropriate first action to report the client's complaint and initiate further investigation and intervention as needed.
d. Reassuring the client about the staff's training is not sufficient in addressing the client's complaint of excessive force. The issue should be reported to the appropriate authority for investigation and resolution.

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A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is A

Explanation

A nurse in a long-term care facility is caring for a client who reports that the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

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