A licensed practical nurse (LPN) has recently begun working in a nursing home that uses the functional nursing model
The nurse recognizes that each part of the nursing team has a specific function or task to complete. The LPN was assigned to change all of the dressings on the wing. While caring for a client requiring a large wet-to-dry dressing change to debride the infected wound, the LPN noted that the client was screaming in pain when she removed the old dressing, and the wound looked worse than it did the other day. Which actions should the LPN provide next?
A) Complete the dressing, chart the findings, and go on to change the next client's dressing.
B) Provide the pain medication and then change the dressing, and chart the findings.
C) Ask the medication nurse to provide pain medication before completing the dressing.
D) Report the findings to the physician and change the dressing and document.
Ans: C
Feedback:
Functional nursing needs the team members to communicate with each other, in order to provide the best possible quality of care for the client. Since the client is exhibiting pain, the LPN functioning as the wound dressing nurse needs to ask the medication nurse to medicate the client before continuing with the dressing. Usually the medication nurse is the only one who has access to medications. Choices A and D ignore the client's pain and further fragment the care being delivered.
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