The charge nurse in the ICU receives a call from the ED. They ...

[Starlight]

The charge nurse in the ICU receives a call from the ED. They have three patients who require a bed. Which patient should be transferred first?
 
  a. A patient admitted with an acute MI who is in the cardiac catheterization lab now for an intervention
  b. A patient admitted with an acute MI and a history of CABG on a nitroglycerin drip to manage ischemic pain and tissue perfusion
  c. A patient in sickle cell crisis with a PCA pump to manage his pain
  d. A patient in DKA for new-onset diabetes mellitus

Question 2

A patient turns his call light on and requests someone to help him ambulate. The senior student nurse has been caring for this patient for 2 days but has only helped him to a chair in the past.
 
  Which instructions should be given to the student prior to ambulation of the patient? a. The patient has been ambulated before but still requires some assistance..
  b. The patient has been ambulated before but is only able to walk with supervision and a walker..
  c. The patient is only able to walk with a walker for the length of the hallway..
  d. The patient has been ambulated before using a walker but needs his oxygen sa-turation checked if he complains of SOB (shortness of breath)..

[kkenney]

Answer to Question 1

B

Feedback
A Although the patient requires assessments once on the unit, he or she is currently stable and can wait until a bed is available.
B This patient is the least stable and will require the most assessment due to titra-tion of the nitroglycerin drip.
C Although the patient requires assessments once on the unit, he or she is currently stable and can wait until a bed is available.
D Although the patient requires assessments once on the unit, he or she is currently stable and can wait until a bed is available.

Answer to Question 2

D

Feedback
A Does not include specifics regarding adverse effects of the task or what should be done if they occur.
B Does not include specifics regarding adverse effects of the task or what should be done if they occur.
C Does not include specifics regarding adverse effects of the task or what should be done if they occur.
D Proper delegation includes specifics about the task and the possible adverse ef-fects and what to do about them should they occur. This answer provides all of the components for good delegation.

[Starlight]

Thank you

[kkenney]

Happy to help you