The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?
Conduct a closer examination of staff nurse's distribution of pain medication from evening shift.
Hold a mandatory staff meeting to discuss the findings of documentation audits from every shift.
Question clients about effectiveness of pain medication.
Discuss with healthcare provider a plan to change client analgesia.
The Correct Answer is A
Choice A rationale: Conducting a closer examination of staff nurses' distribution of pain medication is the first step to identify any issues or patterns contributing to the higher than-usual administration of narcotic pain medications.
Choice B rationale: Holding a mandatory staff meeting may be necessary, but a focused examination should precede broader discussions.
Choice C rationale: Questioning clients about the effectiveness of pain medication is an important aspect of the investigation but should follow a thorough examination of medication distribution.
Choice D rationale: Discussing with the healthcare provider about changing client analgesia may be considered later based on the findings of the examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Conducting a closer examination of staff nurses' distribution of pain medication is the first step to identify any issues or patterns contributing to the higher than-usual administration of narcotic pain medications.
Choice B rationale: Holding a mandatory staff meeting may be necessary, but a focused examination should precede broader discussions.
Choice C rationale: Questioning clients about the effectiveness of pain medication is an important aspect of the investigation but should follow a thorough examination of medication distribution.
Choice D rationale: Discussing with the healthcare provider about changing client analgesia may be considered later based on the findings of the examination.
Correct Answer is D
Explanation
A. Remind the UAP to apply a fitted respirator mask before entering the client's room: A fitted respirator (N95 mask) is used for airborne precautions (e.g., tuberculosis), not droplet precautions like influenza.
B. Instruct the UAP to notify the nurse of any changes in the client's respiratory status: This is beyond the UAP’s scope of practice. Assessment and clinical judgment are the nurse’s responsibility.
C. Assign the UAP to provide care for another client and assume full care of the client: There is no indication that the UAP is incapable of providing care once properly instructed in precautions.
D. Review the need for the UAP to wear a face mask while in close contact with the client: Influenza is spread via respiratory droplets, so a surgical mask is required when within 3 feet of the client. This action ensures appropriate use of personal protective equipment (PPE).
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