NCLEX-RN

Category - Care Management

An ICU nurse is making the client assignment for the shift. The ICU nurse learns that a nurse, who was pulled out from the labor room to fill in, has never worked in the ICU before. The ICU nurse assigns which client to the labor room nurse?
  1. A 75-year old client with renal failure needing a blood transfusion
  2. A newly-admitted client from the ER with a diagnosis of spinal cord injury
  3. An 80-year old client who had an open heart surgery 12 hours ago, with an unstable blood pressure
  4. A male client diagnosed with emphysema, who is on a ventilator for total support
Explanation
Answer: A -The ICU nurse should assign the most stable client to the labor room nurse who has never worked in a critical care setting. The administration and monitoring of a blood transfusion is a basic nursing skill; therefore, the labor room nurse can safely do this procedure.
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