Leadership and Management HESI Test Bank Related

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A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

  • A. A client who is at 32 weeks of gestation and has premature rupture of membranes
  • B. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor
  • C. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump
  • D. A client who has gestational diabetes and is receiving biweekly nonstress tests
Correct Answer: C

Rationale: A nurse who floated from a medical-surgical unit would be appropriate to care for a client who is 1 day postoperative following a Cesarean section and has a PCA pump. This client requires monitoring of the postoperative incision site, pain management through the PCA pump, and assessment for any signs of complications related to the surgery. Assigning this client to an RN with experience in postoperative care aligns with providing specialized and appropriate care. Choices A, B, and D involve conditions or procedures specific to obstetrics that would be better managed by a nurse with obstetrical experience, making them incorrect choices for the floated RN.