You are the charge nurse on a busy medical-surgical unit. You are ...

[nmorano1]

You are the charge nurse on a busy medical-surgical unit. You are also the preceptor to a novice nurse.
 
  What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient? a. Nurse uses Doppler to obtain pulses on a patient with no palpable peripheral pulses
  b. Reporting to the charge nurse that they cannot feel a patient's peripheral pulses and the blood pressure is only palpable
  c. Nurse calls for help when she finds the patient with barely palpable blood pressure and hard to arouse
  d. Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly

Question 2

A nurse from the Obstetrics unit has been floated to your unit. In making assignments, which patient would you assign to this nurse?
 
  a. A 25-year-old client diagnosed with severe hypertension
  b. A 42-year-old male who is receiving peritoneal dialysis treatment
  c. A 22-year-old female in sickle cell crisis
  d. A 47-year-old male who is 1 day post-gallbladder surgery

[ririgirl15]

Answer to Question 1

D

Feedback
A This would be the response of a nurse as she becomes more experienced.
B This would be the response of a nurse as she becomes more experienced.
C This would be the response of a nurse as she becomes more experienced.
D A novice nurse would go into the patient's room prepared to get vital signs in the morning and decide not to further assess a patient who is sleeping soundly..

Answer to Question 2

A
The nurse should be assigned the 25-year-old client with severe hypertension. Hypertension is often
seen on the Obstetrics unit; therefore, the OB nurse should be able to provide the appropriate care
needed. Care for a client receiving peritoneal dialysis, one in a sickle cell crisis, or the client who has
had gallbladder surgery may require additional experience that the float nurse does not have.

[nmorano1]

TYSM

[pangili4]

Excellent