The clinic nurse encounters a client who does not respond to verbal stimuli and initiates cardiopulmonary resuscitation (CPR). If you needed to get a flu swab on a patient and they would like a cup of water, get them the water before you get their flu swab and deliver the water while you get the swab. The client diagnosed with atherosclerosis who has slurred speech and drooling. Patient prioritization depends on the patient’s status at a given moment. Get an appointment for an abdominal XRay for Ms. Patterson, IV before being able to give IV pain medication. 3. Some other way to learn and remember what to do first if everyone is stable? The fire alarm starts going off in the family practice clinic. His EKG was normal sinus rhythm and his 0-hour troponin was negative. The statin medication to the client diagnosed with atherosclerosis. 3. 4. Prioritization questions are some of the most difficult questions that you’ll get in nursing school. The goal of grouping activities is to enter rooms once if possible. For even more strategies on time management, critical thinking and prioritization, check out my nursing school prep course Crucial Concepts Bootcamp . Belongingness and affection, 4. Assist the client to a recumbent position in the bed. If yes, then this client may be priority. Mr. Smith is a 40 year old male who came in with chest pain for 2 days. Notifying the laboratory for a type & crossmatch would be an appropriate intervention since the client is showing signs of hypovolemia, but it is not the first intervention because it would not directly support the client’s circulatory volume. Many nursing schools may have instructed students on the "ABCs of prioritization": airway, breathing, and circulation. However, I always lay eyes on my patients before I do anything because the patient may have become diaphoretic during report or some other game changer that causes a change in the plan. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. Call for a stat electrocardiogram and a troponin level. Elsevier Health Sciences. He has received 324 of aspirin and 2 mg of morphine. Which intervention should the nurse implement first? Is there a DEFG continuation? Clinical skills in nursing are obviously important, but critical thinking is at the core of being a good nurse.. Critical thinking skills are very important in the nursing field because they are what you use to prioritize and make key decisions that can save lives. When she is not nursing she is buffing up on her outdoor survival skills or lifting weights. Apply stoma adhesive paste to the skin around the stoma. The CLSC nurse received phone messages from the CLSC secretary. 1. I would report off to the physician the results and then confirm that the troponin was drawn on Mr. Smith at the proper time and was sent off. 4. Administer furosemide (Lasix), a loop diuretic, IVP. Our main focus is to slow down the development of disability. Because the application of knowledge and judgement in a clinical situation is … The vital signs indicate hypovolemia, which is a life-threatening emergency that requires the nurse to intervene to support the client’s circulatory volume. If yes, then this client may be—but probably is not—priority. Time is one of the most valuable resources in nursing practice; therefore, nurses need to manage it in order to spend it in professional activities. The client diagnosed with pericarditis who has chest pain with inspiration. Increasing confidence with this skill is the hallmark of developing expertise. 2. Describe a typical day at work. Her true passion is the pediatric population. Some charge nurses are so cool under pressure, it looks as though they were born for the role. #1 Safety Delegation NCLEX questions for nursing. Ambulate Ms. Jones down the hallway and assess gait stability. The reason is because all of the answer choices are “correct,” meaning that it is something reasonable for the nurse to do. Ask the respiratory therapist to administer a treatment. You will need to prioritize appropriately in order to provide the most benefit for your patient with the resources you have available. 4. Monitor the drainage in the ostomy drainage bag. Disability is a wide variety of things it could be. 3. Instruct clients to stay in their rooms and close the doors. 5. Prioritizing care is one of the first things that nurses learn in their career. The nursing process, or ‘Assess, Plan, Implement and evaluate (APIE),’ can be used successfully as a time management tool. We need to get the BP down so we do not have permanent damage. 1. Further assessment data are not needed. You can find the complete list of nursing diagnoses and their definitions at NANDA International Nursing Diagnoses: Definitions & Classification 2018-2020 11th Edition . To examine the relationships among nurse staffing, nurses prioritization of nursing activities, missed care, quality of nursing care, and nurse outcomes. For one, when effectively management, it helps the nurses to a clarity of mind. So like I mentioned before, there are many different paths to take to accomplish this. The stem of the question has provided enough assessment data to indicate the client’s problem of hypovolemia. Their Prioritization of Care and Patient Management and Delegation scenarios expose nursing students to a large variety of virtual clinical situations in which assessment and decision-making skills can be practiced and perfected anytime, anywhere. 3. Registered Nurses provide care to patients by monitoring their health conditions, planning their long-term care needs, administering medicine, and advising patients and their families on how to care for the patient's illness after a hospital stay, amongst other duties. 1. Insert an 18-gauge catheter and infuse lactated Ringer’s. Family members are encouraging your client to "tough out the pain" rather than risk drug addiction to ... (HIV) in the community. Is the situation/data normal? Advantages of time management in nursing. Be sure to read the guidelines above before starting and if you need to review the concepts, feel free to read reviewer below to learn more about the concept. A new nurse who has just graduated from the nursing school needs to be trained and guided to ensure that the nurse fits appropriately in the new environment and learns the ropes that are to be scaled up the ladder (Levett-Jones, T & Brourgeois, S, 2011., p 77). 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