The nurse is making assignments for the next shift. Which client should the nurse assign to the new nurse coming out of orientation?

Question

The nurse is making assignments for the next shift.  Which client should the nurse assign to the new nurse coming out of orientation?

Quizplus · Accepted Answer

The nurse is looking for the most stable client to assign to the new nurse. The client who is scheduled for hemodialysis has a chronic disorder and receives this therapy on a regular basis. There is no indication that this client might be unstable. (Option A) There is a high incidence of IV iron causing hypersensitivity reactions, including anaphylaxis. Therefore, a test dose needs to be given first. This client should be assigned to a more experienced nurse. (Option B) The client with hyperglycemia is at high risk for diabetic ketoacidosis or hyperglycemic hyperosmolar nonketotic coma. Both are associated with acute and chronic complications and require careful assessment and prompt nursing intervention. This client should also be assigned to a more experienced nurse. (Option C) Ultrafiltration (removal of excess fluid) is a complex task that requires extra training to perform. It is performed for clients who are not responding to IV diuretics. In addition, clients receiving ultrafiltration are more likely to be hemodynamically unstable due to their advanced heart failure; therefore, it is better for these clients to receive care from an experienced nurse. Educational objective: The client with a complex illness or one who is unstable (uncontrolled diabetes with hyperglycemia) should be assigned to a more experienced nurse. In addition, tasks requiring advanced skills (ultrafiltration, IV administration of high-risk medications) should be assigned to nurses who have had time to refine their basic skills and have acquired more advanced assessment expertise.

The Nurse Is Making Assignments for the Next Shift