Which of the following guidelines should a nursing instructor ...

[Yolanda]

Which of the following guidelines should a nursing instructor provide to nursing students who are now responsible for assessing their clients?
 
  A) Assessment data about the client should be collected continuously.
  B) Assess your client after receiving the nursing report and again before giving a report to the next shift of nurses.
  C) Assess your client at least hourly if the client's vital signs are unstable, and every two hours if the vital signs are stable.
  D) Assessment data should be collected prior to the physician rounding on the unit.

Question 2

The nurse is providing care for a pediatric client on night shift. At 0400, the nurse notes that the child has a high fever but does not have an order for an antipyretic.
 
  What nursing action represents a good example of teamwork and collaboration as defined by the Quality and Safety Education for Nurses (QSEN) competencies? The nurse:
 
  A) calls the health care practitioner, reports her findings, and requests an order for an antipyretic.
  B) gives the child a common over-the-counter antipyretic based on dosing recommendations and reports this to the oncoming nurse.
  C) reports to the oncoming nurse at 0700 that the child has a fever so that when the healthcare provider comes in, she can obtain an order for an antipyretic.
  D) requests that the child 's mother give the child something for the fever that she brought from home.

[Anonymous]

Answer to Question 1

Ans: A

Data about the client are collected continuously because the client's health status can change quickly.

Answer to Question 2

Ans: A
Teamwork and collaboration as defined by QSEN indicates the need to recognize practice boundaries at the same time as functioning within the inter-professional team to accomplish shared decision making. It is the nurses responsibility to report altered client status that may require collaborative interventions, irregardless of time of day. For the nurse to administer a medication, there must be a written order for the medication, and it is outside of the scope of practice to prescribe medications. Waiting to report the assessment to an oncoming nurse may delay client care and effect client outcomes. It would be inappropriate to require the mother take care of this with medications brought from home.

[Yolanda]

Excellent

[bulacsom]

Gracias!