A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit. Which of the following assignments is appropriate for the float nurse?
Administer IV nitroglycerin to a client who is experiencing chest pain.
Complete a SAD PERSONS assessment scale for a client who has attempted suicide.
Set up a trauma room for an incoming client who was in a motor-vehicle crash.
Perform a urinary catheterization for a client who has experienced a cerebrovascular accident.
The Correct Answer is D
Choice A reason: Administering IV nitroglycerin to a client who is experiencing chest pain is not an appropriate assignment for the float nurse, as it requires advanced cardiac knowledge and skills that the nurse may not have. The charge nurse should assign this task to a nurse who is experienced in the emergency department.
Choice B reason: Completing a SAD PERSONS assessment scale for a client who has attempted suicide is not an appropriate assignment for the float nurse, as it requires mental health expertise and training that the nurse may not have. The charge nurse should assign this task to a nurse who is qualified in psychiatric nursing.
Choice C reason: Setting up a trauma room for an incoming client who was in a motor-vehicle crash is not an appropriate assignment for the float nurse, as it requires emergency preparedness and competence that the nurse may not have. The charge nurse should assign this task to a nurse who is familiar with the trauma protocols and equipment.
Choice D reason: Performing a urinary catheterization for a client who has experienced a cerebrovascular accident is an appropriate assignment for the float nurse, as it is a basic nursing skill that the nurse should have learned and practiced in the medical-surgical unit. The charge nurse should assign this task to the float nurse as long as the nurse is comfortable and confident with the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Obtaining a prescription for a sedative for the client is not a correct action, as it may cause adverse effects such as confusion, falls, or respiratory depression. The nurse should avoid using sedatives unless absolutely necessary and use non-pharmacological interventions to calm the client.
Choice B reason: Removing the clock and calendar from the client's room is not a correct action, as it may worsen the client's disorientation and anxiety. The nurse should provide orientation cues such as a clock, a calendar, a radio, or a newspaper to help the client maintain a sense of time and reality.
Choice C reason: Providing distractions for the client during the day is a correct action, as it may reduce the client's boredom, agitation, and wandering behavior. The nurse should engage the client in meaningful activities such as music, games, crafts, or exercise that suit the client's interests and abilities.
Choice D reason: Raising all four side rails on the client's bed is not a correct action, as it may increase the risk of injury or entrapment if the client tries to climb over them. The nurse should use the least restrictive measures to prevent wandering, such as alarms, locks, or supervision.
Correct Answer is B
Explanation
Choice A reason: Decreased cost-effectiveness is not an outcome of critical pathway use, but rather an outcome of poor quality care. Critical pathways are designed to improve the quality and efficiency of care by reducing unnecessary costs and resources.
Choice B reason: Decreased care delays is an outcome of critical pathway use, as it reflects the timely and coordinated delivery of care. Critical pathways are evidence-based plans that outline the expected course of care and outcomes for a specific client population.
Choice C reason: Increased length of stay is not an outcome of critical pathway use, but rather an outcome of ineffective or inappropriate care. Critical pathways are intended to shorten the length of stay by optimizing the care process and preventing complications.
Choice D reason: Increased variation in clinical interventions is not an outcome of critical pathway use, but rather an outcome of inconsistent or individualized care. Critical pathways are meant to standardize the clinical interventions based on the best available evidence and practice guidelines.
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