A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept?
Explanation & Rationale
A. A client who had a cesarean delivery 24 hr ago: A medical-surgical nurse has the knowledge and skills to monitor a postoperative client, including assessment of vital signs, pain management, incision care, and early ambulation. This assignment is appropriate because it involves standard post-surgical care that aligns with the nurse’s current competencies. B. A client who is receiving oxytocin for uterine atony: Oxytocin administration for active uterine atony requires rapid recognition of hemorrhage, titration of medication, and frequent maternal and fetal monitoring. A nurse unfamiliar with postpartum complications may not safely manage this high-risk situation, making it inappropriate for a float assignment. C. A client who will be breastfeeding for the first time: Assisting a new mother with initial breastfeeding requires specialized knowledge of latch techniques, positioning, and management of common breastfeeding issues. A nurse without postpartum or lactation experience may not provide safe or effective guidance, making this assignment unsuitable. D. A client who underwent removal of a retained placenta: This client is at high risk for postpartum hemorrhage and requires frequent assessment and immediate intervention if complications occur. Management of such a high-acuity postpartum client exceeds the typical scope of a medical-surgical nurse without specialized obstetric experience.