A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

A client who has gestational diabetes and is receiving biweekly nonstress tests

A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor

A client who is at 32 weeks of gestation and has premature rupture of membranes

A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Answer and Explanation

The Correct Answer is D

A.   A client with gestational diabetes receiving biweekly nonstress tests typically requires monitoring and assessment that align more closely with obstetric nursing knowledge and skills rather than medical-surgical nursing.
B.   A multigravida client with preeclampsia receiving misoprostol for induction of labor needs specialized obstetric care due to the complexity of the condition and the induction process.
C.   A client at 32 weeks of gestation with premature rupture of membranes would require obstetric care expertise for monitoring and management.
D.   A primigravida client 1 day postoperative following a Cesarean section with a patient- controlled analgesia (PCA) pump requires specialized postoperative obstetric care,
making this assignment suitable for the RN who floated from a medical-surgical unit due to their experience with postoperative care and pain management.

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Correct Answer is C

Explanation

A. Instructing the client's family to contact the insurance provider might be helpful, but it doesn't address the immediate need for the oxygen tank.
B. Contacting social services might assist with various needs, but it might not expedite the delivery of the oxygen equipment.
C. Notifying the provider about the delayed oxygen tank delivery is essential to update the provider on the client's situation and potentially expedite the process.
D. Sending an oxygen tank from the facility home with the client might not be feasible due to regulations, safety concerns, and potential liability issues.

A. "You'll be fine. You'll receive a prescription for pain medication." B. "Why didn't you discuss your concerns with your provider?" C. "If you have the procedure now, you won't have to deal with pain and disability later." D. "I understand, and it's not too late to change your mind,"

Correct Answer is D

Explanation

A. Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.

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A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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