The charge nurse of the medical-surgical unit is making staff assignments. Which staff member should be assigned to a client with chronic kidney disease who is exhibiting a low-grade fever and a pericardial friction rub?
a. Registered nurse who just floated from the surgical unit
b. Registered nurse who just floated from the dialysis unit
c. Registered nurse who was assigned the same client yesterday
d. Licensed practical nurse with 5 years' experience on this floor
ANS: C
The client is exhibiting symptoms of pericarditis, which can occur with chronic kidney disease. Continuity of care is important to assess subtle differences in clients. Therefore, the registered nurse (RN) who was assigned to this client previously should again give care to this client. The float nurses would not be as knowledgeable about the unit and its clients. The licensed practical nurse may not have the education level of the RN to assess for pericarditis.
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