How should care needs be prioritized?
Address threats to life or safety first, then urgent changes, time-sensitive treatments, and routine needs.
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How should care needs be prioritized?
Address threats to life or safety first, then urgent changes, time-sensitive treatments, and routine needs.
Why reassess priorities during care?
Reassess when new information arrives because priorities can change as a client’s condition changes.
What choice may a client with decision-making capacity make about recommended care?
A client with decision-making capacity may accept or refuse recommended care. Explore concerns, provide understandable information, and avoid coercion.
What makes consent informed?
Informed consent is a communication process: the clinician explains the intervention, purpose, material risks and benefits, and alternatives, including no treatment, then checks understanding and voluntariness.
When should a procedure pause for a consent concern?
Pause the process and contact the responsible clinician before proceeding if the client has unanswered questions, appears unsure, or withdraws consent.
What are the five rights of delegation?
The five rights are the right task, circumstance, person, directions and communication, and supervision and evaluation.
Which nursing responsibilities must not be delegated?
Do not delegate nursing judgment or an assessment that requires a licensed clinician.
What responsibility does the licensed nurse retain after delegating?
The licensed nurse remains responsible for the delegation decision and follow-up, including supervision and evaluation.
What information belongs in a structured handoff?
A structured handoff covers the client’s condition, recent changes, response to treatment, pending tasks, and contingency plans.
When is responsibility fully transferred in a handoff?
Responsibility is not fully transferred until the receiving caregiver acknowledges and accepts it.
What should be documented to support continuity of care?
Document assessments, client preferences and decisions, notifications, delegated tasks, responses, and handoff details according to policy.
Which need takes priority when a client reports new chest pressure and shortness of breath?
Promptly assess and appropriately escalate new chest pressure and shortness of breath because they may indicate an acute change.