A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

Document assessment data.

Review the client's new laboratory values.

Complete required tasks.

Determine client care goals.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Documenting assessment data is important but should follow planning and prioritization of care.
B. Reviewing new laboratory values is necessary for informed care but is part of the assessment and planning process, not the first step.
C. Completing required tasks without prioritization can lead to inefficient use of time and missed critical care.
D. Determining client care goals allows the nurse to prioritize tasks and plan the shift effectively, making it the first and most important step in time management.

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Correct Answer is D

Explanation

Rationale:
A. Client concerns about meals should be addressed but do not require an incident report—these can be managed through dietary services or routine documentation.
B. Difficulty obtaining medication from the pharmacy is a systems issue, but it does not directly involve a client safety event and therefore does not require an incident report.
C. A client’s refusal of medication is their right and should be documented in the medical record, not reported as an incident.
D. Withholding a client’s scheduled medication constitutes a medication error/variance, which directly affects client safety and must be documented using an incident report.

A. Client 3 at 1020 B. Client 4 at 1130 C. Client 4 at 0815 D. Client 1 at 0745 E. Client 4 at 0930 F. Client 1 at 1600 G. Client 4 at 0800 H. Client 4 at 1700 I. Client 2 at 1700 J. Client 1 at 1830

Correct Answer is ["A","B","D","F"]

Explanation

Rationale:
A. Obtaining a blood glucose for the newborn is within the PN’s scope of practice and can be safely delegated.
B. Performing a fundal check is a routine postpartum assessment that a PN can perform under supervision.
C. Conducting an initial newborn assessment requires RN-level assessment skills and cannot be delegated.
D. Reinforcing information about circumcision involves reinforcing teaching, which is within the PN’s scope.
E. Initiating a care plan for a new postpartum client requires nursing judgment and cannot be delegated.
F. Reinforcing safe sleep practices is teaching reinforcement, which a PN can perform.
G. Administering Vitamin K is a medication administration task requiring RN scope (depending on facility policy).
H. Reinforcing teaching about breastfeeding involves detailed education and assessment and should be performed by an RN.
I. Administering ibuprofen is medication administration and requires RN or authorized provider scope.
J. Providing discharge instructions and teaching requires RN-level assessment and teaching skills and cannot be delegated.

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A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is preparing to discuss incident reporting with nursing staff. Which of the following situations should the nurse manger include as a reason to complete an incident report?

Correct Answer is D

Explanation

A charge nurse on a maternal newborn unit is delegating tasks to a PN. Exhibits Which of the following tasks should the charge nurse delegate to the PN? Select all that apply.

Correct Answer is ["A","B","D","F"]

Explanation

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