Which client is most appropriate for the 7:00 AM-7:00 PM charge nurse on a cardiac step-down unit to assign to a float registered nurse from a medical-surgical unit?

Question

Quizplus · Accepted Answer

The most appropriate assignment for the float nurse is the client with heart failure and IV heparin. The nurse from a general medical-surgical unit should be familiar with the assessment, nursing care, nursing diagnoses, and medications administered to clients with heart failure and with the facility's protocol for administration of a continual IV heparin infusion. (Option A) This client should be assigned to an experienced nurse who regularly works on the unit. The nurse would be familiar with monitoring for bleeding at the femoral access site, post-procedure angina (eg, coronary vasospasm, acute thrombosis), and alterations in peripheral pulses. The experienced nurse would be better able to provide education as most clients are discharged 24 hours after stent placement. (Option B) This client's nurse should be familiar with cardioversion. The nurse could explain the procedure to the client, assist if the procedure is done on the unit, and monitor the client for post-procedure complications (eg, cardiac dysrhythmias). (Option C) This client's nurse should be familiar with monitoring for heart block until a pacemaker is placed, pacemaker placement, and postprocedure complications. Educational objective: A stable client with the least complex problems and the most clearly defined outcomes is the most appropriate assignment for a float nurse.

Which Client Is most Appropriate for the 7:00 AM-7:00 PM