A novice nurse has just completed orientation in the pediatric intensive care unit (PICU). The nurse is striving to attain the required skill level to care for children returning from open-heart surgery. The mentor want to assist the novice nurse in reach
Which assignment would allow this to occur?
A) A pediatric client who is recovering from open heart surgery and requires discharge teaching. B) A critically ill pediatric client who is recovering from a major abdominal surgery.
C) A pediatric client who is recovering from heart surgery on the step down unit.
D) A pediatric client who requires emergency resuscitations.
Answer: C
While setting goals for the second phase of mentoring, the mentor might suggest that the graduate nurse care for those children who have recovered from surgery but have not yet met the criteria for discharge. This would enable the nurse to learn about the surgeries, goals, and treatments for this group of clients. Having the graduate nurse care for critically ill children would put the clients at risk as the new nurse has neither the knowledge nor skills to care for this category of client need. The new nurse would not be entrusted with performing postoperative teaching for the critically ill child until more knowledge has been gained. Certainly, the graduate should observe emergency resuscitation with the goal of eventually taking more responsibility, but this would not best facilitate the goal of caring for children immediately after open-heart surgery.
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