Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A nurse who usually works in the NICU is floated to the emergency department. Which of these patients should the charge nurse assign to this nurse?
  1. An adolescent patient who reports having taken a large crack hit ten minutes prior to walking into the emergency room
  2. A pediatric patient who has been on pain medication for terminal cancer with an initial assessment finding of pinpoint pupils and a relaxed respiratory rate of 10
  3. A young adult who stated that he hears songs from heaven, his arms are jerking, and he needs money
  4. An adolescent patient who stated that she took many diet pills and her heart feels like it is racing out of her chest
Explanation
Answer - B - The patient who should be assigned by the charge nurse to the NICU nurse is a pediatric patient who has been on pain medication for terminal cancer with an initial assessment finding of pinpoint pupils and a relaxed respiratory rate of 10. Nurses who are floated to a different department should be assigned to patients with minimal anticipated immediate complications of their problems. The patient exhibits opiod toxicity with the pinpoint pupils and has the least risk of complications to occur in the near future.
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