Which of the following statements made by a new graduate nurse regardi

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 her-self.”
4. “The order reads clear liquids, but I hear good bowel sounds and she’s really hungry.”

ANSWER

ANS: 4
With the assessment data supporting advancement in diet, the new graduate should initiate a modification of the client’s nursing care plan because this directly impacts the client’s nutritional status. Although facilitating client independence is appropriate, this option does not have priority over the option impacting nutrition. The other options do not involve modification of the care plan.