The registered nurse in charge on the cardiac unit must float a nurse to the emergency department for the shift. Which nurse should be floated to the emergency department?
The nurse who has 4 years of experience in the operating room
The nurse who just transferred from critical care to the cardiac unit
The nurse who has worked in the gastrointestinal lab for 2 years and in the cardiac unit for 3 years
The nurse with 1 year of experience on the cardiac unit who has been on a week's sick leave.
The Correct Answer is B
Staffing reallocation requires clinical competency assessment to ensure patient safety during float assignments. Nursing leadership must match specialized skills with unit-specific acuity, prioritizing practitioners with recent experience in emergency stabilization and advanced hemodynamic monitoring to manage unpredictable patient surges.
Rationale:
A. Operating room experience focuses on perioperative care and sterile technique within a highly controlled environment. While valuable, these skills do not translate as directly to the rapid triage and multifaceted medical-surgical emergencies encountered in the department.
B. Nurses from critical care backgrounds possess the necessary skills for managing high-acuity patients and emergency interventions. Their recent proficiency in advanced life-support and complex assessments makes them the most qualified and safe choice for floating.
C. Experience in a gastrointestinal lab and cardiac unit provides a solid medical-surgical foundation but lacks recent intensive care exposure. Compared to a critical care nurse, this individual may require more procedural orientation for acute emergency scenarios.
D. A nurse with limited experience who is returning from medical leave may not be at peak performance. Floating an inexperienced nurse who has been away from practice increases the risk of clinical errors in a high-pressure environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Laissez-faire leadership characterizes a permissive environment where minimal guidance is provided to subordinates. This style relies on individual autonomy and the professional maturity of staff, often proving effective in highly specialized units where practitioners possess advanced expertise and self-direction.
Rationale:
A. Laissez-faire leaders provide maximal autonomy, allowing experienced staff to exercise their own clinical judgment. Giving staff the freedom to make decisions encourages self-reliance and can lead to increased job satisfaction among highly skilled professionals.
B. This leadership style assumes that staff possess the requisite competence to navigate clinical challenges independently. By expecting members to solve problems, the leader avoids micro-management, though this can lead to disorganization if the team lacks direction.
C. Using contingent rewards or punishments is a hallmark of transactional leadership, not laissez-faire. Laissez-faire leaders generally remain passive, avoiding active intervention or the structured enforcement of extrinsic motivators to drive performance.
D. Despite the hands-off approach, the leader retains legal accountability for the unit's outcomes. Being ultimately responsible means the leader must still monitor safety and quality, even while delegating the decision-making process to the team.
E. Strict rule enforcement is characteristic of autocratic or bureaucratic leadership styles. Laissez-faire leaders avoid regulatory rigidity, instead fostering a loose structure that may lack the consistency required for maintaining rigorous organizational compliance.
Correct Answer is ["A","B"]
Explanation
Fire suppression involves interrupting the chemical chain reaction by removing heat, fuel, or oxygen. Class B fires involve flammable liquids like petroleum or gases, requiring agents that smother or inhibit vapor production to prevent thermal decomposition.
Rationale:
A. Oil is a non-polar liquid categorized under Class B hazards. Fire extinguishers for this class utilize aqueous film-forming foam or dry chemicals to create a barrier that interrupts oxygen supply, effectively cooling the fuel surface to stop combustion.
B. Alcohols are polar solvents that burn at high temperatures. Suppression requires specialized alcohol-resistant agents to prevent the foam blanket from dissolving. Class B units are specifically engineered to handle such volatile liquid fires through vapor suppression.
C. Electrical equipment fires are categorized as Class C. Using a Class B extinguisher containing conductive agents could cause electrical shock to the operator. Class C fires require non-conductive extinguishing media like carbon dioxide to safely neutralize the hazard.
D. Plastic is a solid combustible material classified under Class A. These fires typically require the cooling effect of water or multipurpose dry chemicals. Class B extinguishers are not the primary choice for ordinary combustibles like synthetic polymers.
E. Wood is a fibrous material belonging to the Class A category. Effective extinguishment requires deep heat reduction often provided by pressurized water. A standard Class B unit lacks the penetrating power necessary to extinguish deep-seated embers in cellulose-based materials.
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