A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first?

Request orientation to the medical-surgical unit.

Refer to the assigned resource nurse regarding client assignments.

Inform the nursing supervisor of the lack of experience on the medical-surgical unit.

Clarify competencies with the medical-surgical charge nurse.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Requesting orientation is appropriate, but it is not the first step when being floated for a single shift.
B. Referring to the resource nurse for client assignments is helpful, but assignments should first be based on demonstrated competencies.
C. Informing the nursing supervisor of lack of experience may be necessary if unsafe assignments are made, but the first action should be to clarify what tasks and skills the nurse is competent to perform.
D. Clarifying competencies with the charge nurse ensures that client assignments are safe and appropriate to the nurse’s skill set, making this the priority action.

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Correct Answer is B

Explanation

Rationale:
A. Explaining a 24-hr urine specimen collection requires teaching, which is a nursing responsibility and cannot be delegated to assistive personnel (AP).
B. Reminding the client to change positions slowly is reinforcement of prior teaching and is appropriate to delegate to an AP.
C. Determining muscle strength requires assessment, which is the nurse’s responsibility and cannot be delegated.
D. Deciding how often to measure vital signs involves nursing judgment and care planning, which cannot be delegated to an AP.

A. Client 3 B. Client 4 C. Client 2 D. Client 1 E. Client 5

Correct Answer is ["A","C"]

Explanation

Rationale:
A. Client 3: The client is 4 days post–total hip replacement, ambulating well with assistance, and stable. This client is appropriate for discharge to free up beds.
B. Client 4: The client has COPD with a high fever and thick blood-tinged sputum, indicating acute illness that requires continued hospitalization.
C. Client 2: The client is preoperative for bariatric surgery, which can potentially be postponed or discharged preoperatively if stable, making them suitable for discharge in a mass casualty scenario.
D. Client 1: The client has ongoing chest pain with recent nitroglycerin use and cardiac monitoring, requiring continued inpatient care.
E. Client 5: The client is hypotensive and tachycardic due to dehydration, requiring ongoing IV fluids and monitoring, so discharge is unsafe.

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A nurse from the labor and delivery unit is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has Addison's disease. Which of the following tasks should the nurse plan to delegate to an assistive personnel?

Correct Answer is B

Explanation

A charge nurse on a medical-surgical unit is reviewing the electronic medical record on a group of clients during a mass casualty event. Exhibits Select the 2 clients that the nurse should recommend for discharge to make room for clients injured in the disaster.

Correct Answer is ["A","C"]

Explanation

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