An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
A client who has acute pancreatitis
A client who is one-day postoperative following a total abdominal hysterectomy
A client who had a stroke and is to be admitted
A client who has terminal end-stage renal disease
The Correct Answer is B
Rationale:
A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.
B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.
C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.
D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.
B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.
C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.
D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.
Correct Answer is B
Explanation
Rationale:
A. Requesting a referral is important but not immediately critical compared to other needs.
B. Asking about a PCA pump with morphine indicates a potential issue with pain management or medication delivery that needs immediate attention.
C. Assisting with a bath is important for comfort and hygiene but is less urgent compared to immediate pain management.
D. Questions about a new prescription should be addressed but are generally less urgent than issues related to pain management.
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