The nurse manager is concerned that a staff nurse is having difficulty prioritizing client care needs. Which did the manager observe the nurse perform that caused these concerns? Select all that apply

A) Relying upon another nurse's assessment
B) Reviewing the medication administration record
C) Not completing an assessment
D) Doing easiest tasks first
E) Asking unlicensed assistive personnel to perform complicated care


Answer: A, C, D, E

There are some pitfalls to avoid when prioritizing care. A pitfall is a hidden trap that catches people unaware and undermines plans. Obtaining assessment data from another nurse can provide insight and give a picture of how a client has been during the previous shift; however, using only this information to set priorities may negatively impact client outcomes. Failing to complete an assessment can cause the nurse to miss important and necessary information when setting priorities. Completing easy tasks before doing important, necessary tasks does not make good, professional common sense. Inappropriate delegation may result in the nurse having to do an intervention over or may even result in harm to the client. Reviewing the medication administration record does not negatively impact prioritization.

Nursing

You might also like to view...

Learning domains are identified as:

a. knowledge, ability, and willingness to learn. b. psychologic, skills, and knowledge. c. knowledge, skills, and attitude. d. skills, attitude, and psychologic.

Nursing

A nurse is performing blood pressure screenings at a local health fair

While obtaining subjective assessment data from a patient with hypertension, the nurse learns that the patient has a family history of hypertension and she herself has high cholesterol and lipid levels. The patient says she smokes one pack of cigarettes daily and drinks "about a pack of beer" every day. The nurse notes what nonmodifiable risk factor for hypertension? A) Hyperlipidemia B) Excessive alcohol intake C) A family history of hypertension D) Closer adherence to medical regimen

Nursing

The right leg of a client who was involved in a motor vehicle accident needs to be amputated due to complications. When would a permanent prosthetic limb be constructed for this client?

A) As soon as wound drainage ceases B) Four to 6 weeks after the leg has been amputated C) When the stump size stabilizes D) Ten to 12 months after the amputation of the leg

Nursing

Which of the following aspects should the nurse closely monitor for in a client who has undergone cataract surgery?

A) Feelings of nausea and dizziness B) Increased urine output C) Intense pain in the eye or near the brow D) Development of a "black" eye

Nursing