A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Rationale: - A. Asking what she will be assigned to do first helps the nurse clarify her responsibilities and prioritize tasks effectively. - B. Determining skills can wait until knowing the assigned tasks. - C. Identifying options is not urgent compared to knowing immediate tasks. - D. Notifying the manager can be done after understanding her duties. Summary: The nurse should first ask about her assignment to understand her immediate responsibilities before assessing her skills or considering other options.

Correct Answer: C

Rationale: The correct answer is C because as an RN, the highest priority is ensuring comfort and pain management for a client actively dying. This client requires immediate attention to provide IV pain medication for symptom management and dignity in the dying process. Option A is incorrect as ambulation can be delegated to other team members. Option B is incorrect as a client in protective isolation can be managed by following infection control protocols. Option D is incorrect as a dressing change for a stable postoperative client can be delegated. Prioritizing end-of-life care aligns with the RN's scope of practice and ethical duty.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Asking the spouse what the brain-dead client would have wanted respects the client's autonomy and allows the family to make a decision in alignment with the client's wishes. 2. This approach considers the emotional and ethical aspects of organ donation, ensuring that the decision is not solely based on external factors or pressure. 3. It promotes shared decision-making and empowers the spouse to make a choice that reflects the client's values and beliefs. Summary: - Option A is incorrect as it uses guilt and societal pressure to influence the decision, which is not ethical. - Option C is incorrect as it dismisses the spouse's confusion and oversimplifies the issue by focusing solely on religious beliefs. - Option D is incorrect as it manipulates emotions and does not address the spouse's confusion or the client's wishes.

Correct Answer: D

Rationale: Correct Answer: D Rationale: Providing the staff member with a copy of the appraisal form in advance allows them to review their performance, prepare examples, and reflect on their achievements and areas for improvement. This promotes a more meaningful and constructive discussion during the appraisal interview. It also ensures transparency and fairness in the evaluation process. Summary: A: Informing the staff member of the appraisal time prior to change-of-shift report may not allow sufficient time for preparation and reflection. B: Scheduling the appraisal interview early in the shift might not give the staff member ample time to prepare and may lead to rushed discussions. C: Providing a chair across the desk is a good practice for creating a comfortable environment but does not directly impact the effectiveness of the appraisal process.

Correct Answer: A

Rationale: The correct answer is A: Call the emergency response team. In this situation, the nurse must prioritize the client's immediate medical needs over the family's request for a DNR order. By calling the emergency response team, the nurse initiates potentially life-saving resuscitative measures while respecting the client's best interest. Seeking help from the risk manager (B) or waiting for a stat DNR order from the provider (C) could result in unnecessary delays in providing critical care. Doing nothing and solely respecting the family's wishes (D) may go against the nurse's duty to act in the client's best interest in an emergency situation.