The charge nurse on a medical-surgical step-down unit is responsible for making assignments. Which client ismost appropriate to assign to a new graduate nurse who is still in orientation?

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The new nurse has the basic skills to provide insulin coverage if necessary, perform wound care (eg, assessment, sterile dressing changes, documentation), and provide diabetic teaching for this client. (Option A) A more experienced nurse should care for this client as frequent assessments are needed to determine artery patency and changes in circulatory status distal to the graft, especially in the presence of a diminished pedal pulse. (Option B) A more experienced nurse should care for this client due to frequent assessments and neurologic checks to determine the possible development of target organ disease (eg, brain, heart, lungs, kidneys), especially in the presence of headache and visual disturbances. (Option C) A more experienced nurse should care for this client due to airway management, aspiration precautions, blood pressure control, and frequent assessments to determine changes in neurologic status. Educational objective: The registered nurse makes assignments according to staff members' experience, knowledge, and skill level. The more experienced nurse is assigned to clients who are less stable and require more in-depth analysis of assessment data to implement and plan care. The less experienced graduate nurse is assigned to more stable clients who require basic nursing care.

The Charge Nurse on a Medical-Surgical Step-Down Unit Is Responsible