The RN working on an orthopedic unit is caring for a ...

[Sportsfan2111]

The RN working on an orthopedic unit is caring for a postoperative client with a hip replacement who is not transferring well from bed to chair. The client is behind on the mobility training program. What action is the nurse's priority?
 
  1. Instruct physical therapy to increase treatments to four times daily.
  2. Contact the family to discuss preoperative mobility problems.
  3. Inform the case manager of variance in the critical pathway.
  4. Discuss the problem with the client's surgeon.

Question 2

The administration of a health care organization has proposed a new client care area staffing system.
 
  Which components of this system do not meet the American Nurses Association (ANA) requirements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Registered nurses from across the facility were included on the committee that developed the system.
  2. RNs will be required to accept flexible schedules that might require the nurse to practice on any unit in the facility.
  3. The nurse's level of educational preparation will be considered in staffing decisions.
  4. The number of clients and their acuity will be considered for staffing purposes.
  5. When low census occurs the unlicensed assistant category will be first to be furloughed.

[Chou]

Answer to Question 1

3
Rationale 1: Ordering an increase in physical therapy is not within the scope of nursing and would not be the priority action.
Rationale 2: The family may have important information about the client's mobility, but this is not the priority action.
Rationale 3: The case manager tracks all variances, reports to the collaborative team, and may revise the critical pathway.
Rationale 4: Discussing the problem with the surgeon is not the priority action.
Global Rationale:

Answer to Question 2

2,5
Rationale 1: The ANA requires that staffing systems be developed with input from direct-care registered nurses.
Rationale 2: The ANA requirements state that the RN cannot be forced to work on a unit without having established that he or she is able to provide professional care on such a unit.
Rationale 3: The ANA requirements state that staffing will reflect the level of preparation and experience of those providing care.
Rationale 4: The ANA requirements state that staffing will be based on the number of patients and patient-acuity level.
Rationale 5: There is no mention of low census furlough in the ANA requirements for staffing systems.
Global Rationale: