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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. The client’s aPTT is within the therapeutic range for heparin, so immediate interdisciplinary discussion is not required.

B. Clients using insulin pumps require coordination between the nurse, endocrinologist, and diabetes educator to ensure safe insulin administration and blood glucose management, making an interdisciplinary conference appropriate.

C. Orthostatic hypotension being managed with IV fluids can typically be addressed within routine nursing care without needing an interdisciplinary meeting.

D. The client’s albumin level is within normal limits, and risk for pressure injuries can be managed with standard nursing interventions without requiring a conference.

A. A newly admitted client who has diabetes mellitus and requires initial teaching on self- administration of insulin B. A client who is scheduled for an endoscopy later today and requires an enema C. A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care D. A client who had a myocardial infarction and will be transferring to the unit from the CCU.

Correct Answer is B

Explanation

- A: This client requires initial teaching, which is typically the responsibility of a registered nurse due to the educational aspect and the need to assess the client's understanding.
- B: Administering an enema is a task that falls within the scope of practice for a licensed practical nurse and does not require the advanced assessment skills of a registered nurse.
- C: Developing an initial plan of care involves comprehensive assessment and critical thinking, which are responsibilities of a registered nurse.
- D: A client transferring from the CCU after a myocardial infarction would require close monitoring and assessment, which are beyond the scope of practice for a licensed practical nurse.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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