A nurse has just received change-of-shift report for a group of clients. Which of the following strategies should the nurse use to help manage client care requirements throughout the shift?
Set specific times for low-priority tasks.
Perform complicated tasks independently.
Postpone checking for new prescriptions until medications are due.
Cluster care activities for each client.
The Correct Answer is D
A. Setting specific times for low-priority tasks may not be the most efficient use of time, as client needs can change throughout the shift.
B. Performing complicated tasks independently may not be safe, as it is essential to collaborate with other healthcare team members when necessary for patient safety.
C. Postponing checking for new prescriptions until medications are due could lead to delays in care and negatively impact client outcomes; it's important to check for updates promptly.
D. Clustering care activities for each client promotes efficiency, minimizes interruptions, and helps ensure that all care needs are met in a timely manner.
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Correct Answer is A
Explanation
A. Reporting the concern to the charge nurse is the appropriate action, as it ensures that the issue is addressed through proper channels. The charge nurse can investigate and determine if further action is needed, such as reviewing the medication administration process.
B. Questioning the nurse directly could lead to confrontations and is not the correct procedure for handling potential discrepancies in medication administration.
C. Notifying the pharmacy is unnecessary at this point because the issue concerns administration rather than medication supply or errors with the prescription.
D. While documenting the client’s report is important, simply documenting the client’s claim without notifying the charge nurse does not fully address the concern.
Correct Answer is D
Explanation
A. Investigating home care services covered by insurance is not the primary focus of a nurse preparing for an interprofessional meeting.
B. Developing a nutritional teaching plan, while beneficial, is more specific to nursing care and may not require input from the entire interprofessional team.
C. Creating a collaborative plan of care is a goal of the meeting itself rather than an individual preparation task.
D. Collecting data on the client’s required assistance level provides valuable input on the client’s current functional status, enabling a more comprehensive team discussion and planning for appropriate interventions.