A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
A client who has gestational diabetes and is receiving biweekly nonstress tests
A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor
A client who is at 32 weeks of gestation and has premature rupture of membranes
A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump
The Correct Answer is D
A. A client with gestational diabetes receiving biweekly nonstress tests typically requires monitoring and assessment that align more closely with obstetric nursing knowledge and skills rather than medical-surgical nursing.
B. A multigravida client with preeclampsia receiving misoprostol for induction of labor needs specialized obstetric care due to the complexity of the condition and the induction process.
C. A client at 32 weeks of gestation with premature rupture of membranes would require obstetric care expertise for monitoring and management.
D. A primigravida client 1 day postoperative following a Cesarean section with a patient- controlled analgesia (PCA) pump requires specialized postoperative obstetric care,
making this assignment suitable for the RN who floated from a medical-surgical unit due to their experience with postoperative care and pain management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Case manager: Helps coordinate various aspects of the client's care, including appointments, services, and resources.
B. An occupational therapist can help clients with physical or mental disabilities to perform daily activities, but this is not the primary goal for a client who has anorexia nervosa.
C. Nutritional therapist: Assists in developing and implementing a structured and healthy eating plan to address nutritional deficiencies and eating behaviors.
D. A physical therapist can help clients with musculoskeletal or neurological
impairments to improve their mobility and function, but this is not the main concern for a client who has anorexia nervosa.
E. Mental health counselor: Provides psychotherapy and counseling to address the psychological aspects of anorexia nervosa, including body image, self-esteem, and underlying emotional issues.
Correct Answer is B
Explanation
A. A client receiving an operation on the wrong side of the body is a serious medical error but might not inherently involve an ethical dilemma unless the decision-making process and accountability are in question.
B. A parent wanting a 14-year-old adolescent to receive radiation treatment against his will involves conflicting values of autonomy, beneficence, and parental rights,
constituting an ethical dilemma.
C. A visitor experiencing a minor burn is an incident but doesn't inherently pose an ethical dilemma.
D. A nurse witnessing another nurse administering an incorrect medication is a patient safety issue but might not inherently involve an ethical dilemma unless there are questions about reporting or intervening in the situation.
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