Question

While admitting a client to the surgical unit who had a pneumonectomy 4 hours ago, the call system alarm is initiated by a client in another room. Which action should the nurse implement?

a. Investigate the reason for the call bell alarm then complete the admission assessment.
b. Tell the unit clerk to ask the client via the intercom what is needed.
c.Ask a coworker to respond to the client whose call bell is alarming.
d. Complete the postoperative admission assessment then investigate the call bell alarm.

Answer 1

A nurse should ask a coworker to respond to the client whose call bell is alarming while continuing the admission assessment of a postoperative pneumonectomy patient, ensuring that both patients receive timely and appropriate care.

Step-by-step explanation:

The nurse should prioritize responding to the client whose call bell is alarming. Ensuring the safety and immediate needs of all patients is a nurse's top priority. The correct action would be to ask a coworker to respond to the call bell if the nurse cannot personally attend to it immediately. This approach ensures that the patient who just underwent a pneumonectomy continues to receive care while also addressing the potential urgent needs of another patient. After ensuring coverage for the call bell, the nurse can then complete the admission assessment for the postoperative client.

The initial assessment and stabilization of a postoperative patient, such as one that had a pneumonectomy, is crucial. However, a sounding alarm could indicate a life-threatening situation. Thus, coordinating care to address the alarm while continuing to support the needs of the admitted client reflects proper prioritization of patient safety and delivery of care. It is essential to establish a culture of safety and teamwork on the surgical unit, and part of this includes effective communication and delegation.