A nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit?
A client who is 2 days postoperative following a colon resection
A client who has tuberculosis and is on airborne precautions
A client who has a head injury and requires neurological checks every 4 hr
A client who is 1 day postoperative following a transurethral resection of the prostate
The Correct Answer is D
A. A client who is 2 days postoperative following a colon resection: This client may have complex postoperative needs, including management of surgical drains, potential complications such as infection or anastomotic leakage, and advanced pain management. These require specialized knowledge and experience, making it less appropriate for a float nurse.
B. A client who has tuberculosis and is on airborne precautions: Care for a client with airborne precautions requires strict adherence to infection control protocols, including use of negative pressure rooms and N95 respirators. A float nurse from postpartum may not be fully trained in airborne isolation procedures, making this assignment unsafe.
C. A client who has a head injury and requires neurological checks every 4 hr: Frequent neurological assessments and the ability to detect subtle changes in neuro status require specialized knowledge and experience in neuro care. A float nurse from postpartum may not have the necessary training to safely monitor and respond to neurological changes.
D. A client who is 1 day postoperative following a transurethral resection of the prostate: This client typically requires routine postoperative monitoring, including vital signs, intake and output, and catheter care, which are within the skill set of a float nurse with general nursing experience. The care is predictable and does not require specialized care knowledge.
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Related Questions
Correct Answer is D
Explanation
A. Confirm schedule for delivery of supplies: Ensuring supplies are delivered is important for continuity of care, but it does not address the client’s immediate needs or understanding of peritoneal dialysis. This can be arranged after assessing needs.
B. Coordinate interdisciplinary health care services: Collaboration with other healthcare providers is essential for comprehensive care, but initiating coordination should follow a thorough assessment of the client’s specific needs and goals.
C. Demonstrate how to perform the procedure: Teaching the procedure is a critical step, but effective teaching requires understanding the client’s current knowledge, abilities, and perceived needs first. Without this assessment, instruction may not be individualized or effective.
D. Clarify the client’s actual and perceived health needs: Assessing both objective and perceived needs establishes a foundation for individualized care planning, teaching, and coordination. This is the first action because it informs all subsequent interventions and ensures the client’s priorities are addressed.
Correct Answer is C
Explanation
A. Transmission of Escherichia coli from undercooked ground beef: This is an example of foodborne transmission, where pathogens are ingested through contaminated food. It does not involve a vector such as an insect or animal.
B. Transmission of giardia from contaminated water: This represents waterborne transmission, occurring when pathogens are ingested through contaminated drinking or recreational water, not via a vector.
C. Transmission of West Nile virus from a mosquito bite: West Nile virus is transmitted through the bite of an infected mosquito, which acts as a vector. This is a classic example of vector-borne transmission, where an organism carries and spreads a pathogen between hosts.
D. Transmission of hepatitis A from a food handler who has the virus: This is an example of direct contact or foodborne transmission, occurring when an infected individual contaminates food. It does not involve a vector to transmit the infection.
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