Question

Which of the following statements made by a new graduate nurse regarding the modification of a client's care plan requires immediate follow-up by the nurse's preceptor?

1. I will review the care plan before I do my charting.
2. The client prefers to bathe at night, so that's what I'll do.
3. I gave her a bed bath this morning, but she could really manage showering herself.
4. The order reads clear liquids, but I hear good bowel sounds and she's really hungry.

Answer 1

The statement suggesting a deviation from the prescribed clear liquids diet based on the nurse's personal assessment requires immediate follow-up by the nurse's preceptor.

Step-by-step explanation:

The statement that requires immediate follow-up by the new graduate nurse's preceptor is: "The order reads clear liquids, but I hear good bowel sounds and she's really hungry." This statement raises a concern because it suggests the nurse might act contrary to the prescribed diet orders based on their personal assessment, which could pose a risk to the patient. It is critical for nursing staff, including new graduates, to fully understand and adhere to prescribed care plans, including dietary orders, unless they have been formally changed by a physician.

Nurses play a vital role in patient recovery, and part of their responsibilities includes direct supervision, regular review of the care plan, and ensuring all procedures are carried out as prescribed. Adapting a care plan should be done only after thorough assessment and consultation with the healthcare team, including the physician responsible for the patient's care.