A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 years is assigned to float to a medical-surgical unit. Which of the following actions should the nurse take?

Rationale: A. This option is incorrect because, although formal orientation is ideal, it is often not feasible in short-staffed situations requiring floating. Waiting for a full training program could delay client care. B. This option is correct because the nurse should negotiate specific tasks with the nursing supervisor to ensure they only perform duties within their current competency and scope of practice. Floating nurses must communicate their limitations to prevent unsafe care, avoid legal liability, and ensure patient safety. This collaborative approach balances the needs of the unit with the nurse’s competence. C. This option is incorrect because asking a coworker to take the assignment does not address the situation professionally or ensure that someone competent is available. The responsibility still lies with the nurse and the nurse manager to ensure safe assignment. D. This option is incorrect because outright refusing a float assignment without discussing limitations or negotiating responsibilities may be viewed as unprofessional unless there is a legitimate safety concern. The focus should be on safe practice rather than avoidance.