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NCLEX-RN

Category - Care Management

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Nina the New Nurse has floated to a cardiac unit. Which of the following cardiac clients would be the most appropriate assignment for her? Choose two.

Client receiving Dopamine IV, vitals monitored every five minutes.
Client who had angioplasty 8 hours ago.
Client admitted for M.I. No complaints of pain and no arrhythmias reported during previous shift.
Client with insertion of pacemaker 8 hours ago, with intermittent loss of capture.

Explanation

Answer: B and C - Since Nina the New Nurse is not familiar with this unit and has not completed a cardiac specialty class, her assignment should be comprised of the most stable clients on this unit. Client B and C are the most stable of the four clients; their outcomes are more predictable than client A or client D. Nina the New Nurse can use her basic nursing skills to safely care for these clients.

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