Published Jul 28, 2014
Graduatenurse14
630 Posts
Pt reports pain not being managed to Charge RN. The patient has been asking but hasn't received them.
The PRIORITY or FIRST thing that the Charge RN will do is:
According to one popular prep material- Assess the patient's pain then (I forget the rest)
According to another popular prep material- Have a conference with the patient's nurse. Assess the patient's pain is one of the options!
I don't really care which of them is correct, I only care about which one NCLEX thinks is correct!!!!
Does anyone know which one NCLEX thinks is correct??
rob4546, ADN, BSN, MSN
1,020 Posts
Can you post the complete question? This is somewhat familiar to me but I think there was more information in the question that was important to the outcome. If I remember correctly it had to do with the nurse possibly diverting medication. Would love to help but I don't think we can without all the question.
OneHappyRN
105 Posts
Confusing for sure! But, I THINK it's have a conference w/ the nurse. This would help her to see if the patient really has not received the meds and if so...why.
Pangea Reunited, ASN, RN
1,547 Posts
Patient assessment is always the first step. Always.
RunBabyRN
3,677 Posts
Assess and treat patient first. Patient safety can be at risk, depending on the cause of the pain, and untreated pain can lead to further complications.
For the NCLEX (and real life), think SAFETY, SAFETY, SAFETY.
I wanted to post all of both questions (I have to find one of them) BUT it says in bold font not post test prep materials or you can be banned. That's the only reason that I didn't!
I agree- until I saw this answer which freaked me out! That's why I was shocked that wasn't the correct answer!! It's not from Joe Blow's NCLEX Prep book and it has the Prioritization in it's title!!!
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
Its title has nothing to do with it. The patient always, always comes first in NCLEX-land --it's the priority.
You are right GrnTea. I think I'm losing it a little over here at this point and may be getting into dangerous territory by second guessing things that I know to be true at the bedside as well as on the NCLEX. I need to get a grip!
Thank you!!!!
Sorry didn't realize. I just remember a question like that and thought the same thing. If I remember correctly there was more to the question that shifted the priority from the patient to the nurse. Something like the patient was taken care of or reassigned or something. I have answered so many questions over the last two years they just blur into one.
Everyone is correct though, the patient comes first unless the question shifts priority to someone or something else. Assessment of the patient is the first step always.
It looks like I'm in the minority here and now I know why. I specifically remember that question from the prioritization book. It confused me then and it confuses me still. lol
Me too!!! I don't get it!
Wrench Party
823 Posts
Always assess your patient first, even if the unit is trying to go that place in a handbasket.