The charge nurse is making client assignments in the Intensive Care Department. The healthcare team consists of one nurse with 10 years experience, one nurse with 5 years experience, and a new graduate nurse who just completed a 12-week internship. Which client should the nurse assign to the new graduate nurse?
A client with chest tubes secondary to a stab wound to the chest.
A client in end-stage liver failure who is experiencing esophageal bleeding.
A client with multisystem failure secondary to a motor vehicle collision.
A client with Adult Respiratory Distress Syndrome who is on a ventilator.
The Correct Answer is A
Choice A reason: A client with chest tubes secondary to a stab wound to the chest is the best client to assign to the new graduate nurse. The client has a stable and predictable condition that requires routine care and monitoring. The client does not have any complex or unstable problems that may require advanced skills or interventions. The new graduate nurse has the knowledge and skills to manage the client's chest tubes and wound care.
Choice B reason: A client in end-stage liver failure who is experiencing esophageal bleeding is not the best client to assign to the new graduate nurse. The client has a critical and unpredictable condition that requires frequent assessment and intervention. The client may have complications such as hepatic encephalopathy, coagulopathy, ascites, or sepsis that may require advanced skills or interventions. The new graduate nurse may not have the experience or confidence to handle the client's situation.
Choice C reason: A client with multisystem failure secondary to a motor vehicle collision is not the best client to assign to the new graduate nurse. The client has a complex and unstable condition that requires intensive care and monitoring. The client may have multiple injuries, organ damage, or infections that may require advanced skills or interventions. The new graduate nurse may not have the competence or judgment to deal with the client's condition.
Choice D reason: A client with Adult Respiratory Distress Syndrome who is on a ventilator is not the best client to assign to the new graduate nurse. The client has a severe and unstable condition that requires mechanical ventilation and hemodynamic support. The client may have complications such as pulmonary edema, hypoxemia, or septic shock that may require advanced skills or interventions. The new graduate nurse may not have the expertise or skill to manage the client's ventilator and hemodynamic status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The client's healthcare power of attorney is not the most urgent information to report to the healthcare provider. It is relevant for the client's legal and ethical rights, but it does not affect the immediate clinical situation.
Choice B reason: The increasing confusion of the client is the most urgent information to report to the healthcare provider. It indicates a possible deterioration of the client's neurological status and requires prompt evaluation and intervention.
Choice C reason: The currently prescribed medications are important information to report to the healthcare provider, but they are not the first priority. They can be part of the background information that explains the client's medical history and current treatment.
Choice D reason: The fall at home as the reason for admission is also important information to report to the healthcare provider, but it is not the first priority. It can be part of the situation information that describes the client's chief complaint and presenting problem.
Correct Answer is C
Explanation
Choice A reason: A practical nurse is qualified to transport a postoperative client to the rehabilitation unit, as long as they have the necessary equipment and report any changes in the client's condition to the primary nurse.
Choice B reason: A practical nurse (PN) is competent to monitor the blood pressure of a client with hypertension, as long as they follow the prescribed treatment plan and report any abnormal findings to the primary nurse.
Choice C reason: An unlicensed assistive personnel (UAP) is not authorized to check a client for fecal impaction, as this is a nursing assessment that requires specialized knowledge and skills. The charge nurse should intervene and assign this task to a registered nurse or a practical nurse.
Choice D reason: A graduate nurse is capable of obtaining a unit of packed red blood cells from the blood bank, as long as they have the proper identification and documentation. They should also be supervised by an experienced nurse when administering the blood transfusion.
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