Author Question: A graduate nurse asks the preceptor why the staff spends time talking about the clients between ... (Read 78 times)

j.rubin · **on:** Jul 22, 2018

A graduate nurse asks the preceptor why the staff spends time talking about the clients between shifts when the oncoming nurses can read the charts instead. The best response by the preceptor is:

1. You are right. It is a waste of time..
2. It has always been done this way..
3. Emergencies often prevent the oncoming nurse from reading the chart..
4. Maybe we should suggest primary nursing..

Question 2

A child diagnosed with respiratory syncytial virus (RSV) bronchiolitis requires intubation to maintain an adequate airway. The nurse will collaborate on the care of this client with:

1. Anesthesiology.
2. The primary care physician.
3. A respiratory therapist.
4. An advanced practice nurse.

triiciiaa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Emergencies often prevent the oncoming nurse from reading the chart..

Rationale:
Many times nurses do not have time to read the clients' charts, which could result in errors and assumptions; by participating in change-of-shift reports, nurses make sure the oncoming staff knows critical information. The preceptor would not tell the new nurse that a change-of-shift report is a waste of time because valuable information regarding changes in the client is communicated during a change-of-shift report. Stating that it has always been done a certain way does not help the graduate understand why a change-of-shift report is necessary. Primary nursing promotes continuity of care, but even the primary nurse needs to be apprised of changes in the client during the nurse's absence.

Answer to Question 2

3. A respiratory therapist.

Rationale:
Infants who need endotracheal intubation will be closely cared for by the respiratory therapist. The nurse will collaborate on the care of this client with the respiratory therapist. Anesthesiology might be contacted to assist with the placement of the endotracheal tube. The primary care physician and advanced practice nurse are not responsible for maintaining the client's endotracheal tube and adequate airway.