A nurse will be floating from the medical-surgical unit to the orthopedic unit for the first time. Which patient should be assigned to this nurse?
A patient with balanced skeletal traction and needs assistance with repositioning.
A patient who had a total hip replacement and needs a blood transfusion.
A patient who had an above-the-knee amputation yesterday and has a temperature of 101.4°F.
A patient with a cast for a fractured femur and who has numbness and discoloration of the toes.
The Correct Answer is A
Patient assignment in nursing is guided by scope of practice, clinical competency, patient stability, and predictability of care needs, ensuring that floating staff are allocated to patients with stable conditions, low risk of rapid deterioration, and routine nursing interventions.
Rationale:
A. A patient in balanced skeletal traction requiring repositioning is considered stable with predictable care needs. This involves routine nursing care such as alignment maintenance, skin care, and comfort measures, making it appropriate for a nurse floating from another unit.
B. A patient post total hip replacement requiring blood transfusion involves high-risk monitoring for transfusion reactions, hemodynamic instability, and post-operative complications. This requires experienced orthopedic nursing knowledge and is not appropriate for a first-time float assignment.
C. A patient with an above-the-knee amputation and fever of 101.4°F (38.6°C) may indicate infection or postoperative complication such as wound infection or sepsis. This is an unstable condition requiring focused assessment and experienced orthopedic nursing care.
D. A patient with a cast and neurovascular compromise signs (numbness and discoloration) suggests possible compartment syndrome, which is an emergency requiring immediate intervention. This is a high-acuity situation and inappropriate for assignment to a float nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Quality management in healthcare is based on continuous quality improvement (CQI), evidence-based practice, patient safety monitoring, and outcome evaluation systems, using structured data analysis to enhance clinical processes and improve patient-centered care outcomes across healthcare organizations.
Rationale:
A. Using data-driven analysis is a core principle of quality management. It involves collecting clinical indicators, evaluating outcomes, identifying gaps in care delivery, and implementing improvements based on evidence to enhance patient safety and healthcare effectiveness.
B. Reducing the number of nurses per shift is not a quality management strategy. Staffing decisions must balance patient acuity and safety requirements. Arbitrary reduction of nursing staff can increase adverse events and negatively affect care quality and outcomes.
C. Quality management focuses on system improvement, not blame assignment. Investigating errors is used for identifying process failures and preventing recurrence through root cause analysis, not punishing staff, which would discourage reporting and compromise safety culture.
D. Focusing only on financial efficiency ignores key dimensions of quality care. Effective quality management integrates clinical outcomes, patient safety, and care effectiveness alongside cost considerations, rather than prioritizing financial savings at the expense of patient outcomes.
Correct Answer is ["100"]
Explanation
Step 1: Identify formula
mL/hr = Total volume ÷ Time (in hours)
Step 2: Identify given values
Total volume = 300 mL
Time = 3 hours
Step 3: Insert values
= 300 ÷ 3
Step 4: Calculate
= 100 mL/hr
Final Answer: 100
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