RN Nursing · Delegation and Supervision · Practice question
The charge nurse is making morning assignments on a burn unit. A nurse from the oncology unit is being floated to assist. Which client is most appropriate for the charge nurse to assign to the float nurse?
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A client with inhalation injury requiring mechanical ventilation and continuous monitoring
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✓
A client with partial-thickness burns who is stable and requires routine dressing changes
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A client with extensive full-thickness burns requiring frequent dressing changes and complex wound care
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A client who is 24 hours post-burn with unstable vital signs and requiring fluid resuscitation
Answer & explanation
Correct: A client with partial-thickness burns who is stable and requires routine dressing changes
When assigning clients to a float nurse from another unit, the charge nurse must match the client's acuity and care complexity to the float nurse's competence level. A float nurse from oncology has general medical-surgical skills but is not specialized in burn care. The client with a partial-thickness burn who is stable and requires routine dressing changes represents the most appropriate assignment because the care needs are predictable and within the scope of a generalist nurse: wound assessment, standard dressing technique, and pain management — skills that translate across settings. The client with an inhalation injury on mechanical ventilation requires specialized critical care competencies the oncology nurse is unlikely to possess. The client with extensive full-thickness burns requiring complex wound care demands advanced burn nursing knowledge, including eschar management and grafting care, which is highly specialized. The client who is 24 hours post-burn with unstable vital signs and requiring fluid resuscitation is in the acute resuscitative phase of burn care, which requires understanding of burn-specific fluid formulas (such as the Parkland formula) and rapid response to hemodynamic changes — this is not appropriate for a float nurse. Assigning the stable, routine-care client protects both client safety and the float nurse.
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