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 primigravida client who is 1 day postoperative following a cesarean birth and has a PCA pump.
A client who is at 32 weeks of gestation and has premature rupture of membranes.
A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor.
A client who has gestational diabetes and is receiving biweekly nonstress tests.
The Correct Answer is A
Rationale:
A. A post-cesarean client with a PCA pump requires routine postoperative monitoring and pain management, which are familiar tasks for a medical-surgical RN. This makes the assignment appropriate.
B. A client with premature rupture of membranes at 32 weeks requires specialized obstetrical knowledge and monitoring for complications such as infection and preterm labor.
C. A client with preeclampsia on misoprostol induction requires close fetal and maternal monitoring, which demands specialized obstetric expertise.
D. A client with gestational diabetes undergoing nonstress tests needs interpretation of fetal monitoring results, which is outside the scope of practice for a floated med-surg RN.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Reviewing facility policies is important but should follow understanding the underlying cause of the issue.
B. Discussing time management strategies may be helpful but is premature without knowing why breaks are being missed.
C. Providing coverage for breaks is a possible solution, but it should be based on identified barriers.
D. Determining the reasons the nurses are not taking breaks is the first step, as it allows the charge nurse to address the root cause and implement an appropriate and effective solution.
Correct Answer is D
Explanation
Rationale:
A. Memory loss may require referral to neuropsychology or speech therapy for cognitive rehabilitation, not occupational therapy.
B. Receptive aphasia (difficulty understanding language) is best addressed by a speech-language pathologist, not an occupational therapist.
C. Facial drooping relates to motor weakness and swallowing/speech issues, which are typically managed by physical therapy and speech therapy.
D. Unilateral neglect (ignoring one side of the body or environment) after a stroke affects the client’s ability to perform activities of daily living. Occupational therapy focuses on improving independence in self-care and adapting to such deficits.
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