A nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit?
Explanation & Rationale
A. A client who is 2 days postoperative following a colon resection: This client may have complex postoperative needs, including management of surgical drains, potential complications such as infection or anastomotic leakage, and advanced pain management. These require specialized knowledge and experience, making it less appropriate for a float nurse. B. A client who has tuberculosis and is on airborne precautions: Care for a client with airborne precautions requires strict adherence to infection control protocols, including use of negative pressure rooms and N95 respirators. A float nurse from postpartum may not be fully trained in airborne isolation procedures, making this assignment unsafe. C. A client who has a head injury and requires neurological checks every 4 hr: Frequent neurological assessments and the ability to detect subtle changes in neuro status require specialized knowledge and experience in neuro care. A float nurse from postpartum may not have the necessary training to safely monitor and respond to neurological changes. D. A client who is 1 day postoperative following a transurethral resection of the prostate: This client typically requires routine postoperative monitoring, including vital signs, intake and output, and catheter care, which are within the skill set of a float nurse with general nursing experience. The care is predictable and does not require specialized care knowledge.