Difficulty: Medium
Average Score: 77%
Simulated
The charge nurse is reviewing assignments on the nursing unit for the upcoming shift. Which room assignment should be changed based on the nurse assigned? See the exhibit. Select all that apply.
Correct answer
B,E,F
Rationale
the client with angina and ST-segment changes should be assigned to the RN because of this client's clinical unpredictability. Angina accompanied by ST-segment changes is a worrisome sign of acute coronary syndrome. This assignment needs to be modified so it is assigned to an RN.
Choice E is correct. The client with ARDS requires a high level of care. ARDS is a potentially fatal condition that may require mechanical ventilation. This assignment needs to be modified so it is assigned to an RN.
Choice F is correct. The client with a pulmonary embolism receiving a continuous infusion of heparin should be assigned to the RN. A pulmonary embolism has a degree of unpredictability in its course, and a continuous infusion of heparin will be titrated based on the client's activated partial thromboplastin time (aPTT). Titration of infusions is within the scope of an RN. This assignment needs to be modified so it is assigned to an RN.t
Choice E is correct. The client with ARDS requires a high level of care. ARDS is a potentially fatal condition that may require mechanical ventilation. This assignment needs to be modified so it is assigned to an RN.
Choice F is correct. The client with a pulmonary embolism receiving a continuous infusion of heparin should be assigned to the RN. A pulmonary embolism has a degree of unpredictability in its course, and a continuous infusion of heparin will be titrated based on the client's activated partial thromboplastin time (aPTT). Titration of infusions is within the scope of an RN. This assignment needs to be modified so it is assigned to an RN.t