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?

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.

Correct Answer: B

Rationale: A case manager is the most appropriate interdisciplinary team member to consult for a client with anorexia nervosa. They can help coordinate care, resources, and communication between various healthcare professionals involved in the client's treatment. Consulting an occupational therapist (Choice A) may not directly address the primary concerns associated with anorexia nervosa. While nutritional therapists (Choice C) play a role in addressing nutritional needs, a case manager is better suited for overall care coordination. Mental health counselors (Choice D) focus more on emotional and psychological aspects, whereas a case manager coordinates practical aspects of care.

Correct Answer: C

Rationale: The correct response is C) "I cannot provide this information to you without your mother's consent." This answer respects the client's right to privacy and confidentiality regarding their medical information. As a nurse, it is crucial to uphold ethical principles such as patient confidentiality and autonomy. Sharing sensitive medical information without the client's consent could breach their trust and violate HIPAA regulations. Option A is incorrect because it does not address the need for the client's consent before sharing medical information. While involving the primary care provider is important, the client's consent should still be obtained first. Option B is incorrect as it puts the onus on the adult child to determine what information they want to know. The nurse should not assume what the adult child wants to know and should prioritize obtaining proper consent before discussing the client's treatment plan. Option D is incorrect as it disregards the client's right to privacy and autonomy. Sharing medical information directly with the adult child without the client's consent is inappropriate and can undermine the client's trust in the healthcare team. In an educational context, this scenario highlights the importance of respecting patient privacy and confidentiality in healthcare settings. Nurses must always prioritize patient autonomy and consent when sharing sensitive medical information, even with family members. Understanding and upholding these ethical principles are essential aspects of nursing leadership and management.

Correct Answer: C

Rationale: The correct answer is C. Addressing the absence of three staff members should be the nurse manager's priority as it directly impacts staffing levels and patient care. This situation can lead to staffing shortages, affecting patient safety and workload distribution. Option A, lack of transport assistance, although important, can be addressed after ensuring adequate staffing. Option B involves a client's preference and can be addressed by assigning care appropriately. Option D, a disagreement between two nurses, is important but can be addressed after ensuring adequate staffing and patient care.

Correct Answer: D

Rationale: In this scenario, placing the client's ring in the facility safe is the most appropriate procedure. This ensures the ring is kept secure and prevents any risk of loss or damage during the surgery. Agreeing to keep the ring for the client could raise concerns about accountability, while placing it in the bag with the client's clothing might lead to misplacement. Taping the ring securely to the client's finger is not recommended as it may hinder blood circulation or cause discomfort.