Question

Answer the following questions. Select which concept applies: delegation, prioritization, assignment (more than one may apply). Provide a rationale for each answer possible as to why it is or is not correct and be specific with factual information using research when needed.

A. Which client assignment made by the charge nurse on a critical care unit is most appropriate for a nurse who is 3 months pregnant?

1. The client who is receiving outpatient chemotherapy who is immunosuppressed
2. The client who has been on antituberculosis medications for 3 months
3. The client who has gastroenteritis and is experiencing vomiting and diarrhea
4. The client diagnosed with AIDS who has cytomegalovirus

Concept(s):                                      

Rationales:    a)

                        b)

                        c)

                        d)

B. The nurse is administering medications to clients in the critical care area. Which scenario will the charge nurse question the nurse about?

1. The client receiving lisinopril (suppose to be CCB) requests grapefruit juice for breakfast
2. The client receiving metoprolol with an apical heart rate of 62 beats/min
3. The client receiving celecoxib who has just finished eating breakfast
4. The client receiving warfarin who has an INR of 2.1

Concept(s):                                      

Rationales:    a)

                        b)

                        c)

                        d)

C. The charge nurse is making client assignments in the critical care unit. Which will be assigned to the most experienced nurse?

1. The client with type 2 diabetes who has a blood glucose level of 308 mg/dL
2. The client who has the following ABG values: pH 7.35; Pa0² 88; PaC0² 44; HC0² 22
3. The client who is showing multifocal PVCs
4. The client diagnosed with angina who is scheduled for cardiac catheterization

Concept(s):                                      

Rationales:    a)

                        b)

                        c)

                        d)

D. You notify the ED physician about a client who reports abdominal pain, nausea and vomiting, and fever. The abdomen is distended, rigid, and board-like with rebound tenderness. Later you see an order for discharge and a follow-up appointment in the morning. You re-examine the client and the symptoms are unchanged. What is the most appropriate action?

1. Contact the nursing supervisor and express your concerns
2. Express your findings and concerns to the physician
3. Discharge the client, but stress the importance of follow-up
4. Follow the physician’s orders and write an incident report

Concept(s):                                      

Rationales:    a)

                        b)

                        c)

                        d)

Answer 1

Answer: A is incorrect:The client who is receiving outpatient chemotherapy who is immunosuppressed is highly prone to have any other infections. A pregnant nurse should not be assigned for taking care of this patient. Because the nurse may catch infections.

B is incorrect :The client who has been on antituberculosis medications for 3 months may have chances that he might still have infections. Tuberculosis is highly communicable disease and hence may transmit to the pregnant nurse.

C is correct: The client who has gastroenteritis and is experiencing vomiting and diarrhea. This is because the gastroenteritis can not transmitted from one person to another.

D is incorrect because the patient can transmit disease through the bodily fluids.