The charge nurse is making assignments for one practical nurse (PN) and three registered nurses (RN) who are caring for neurologically compromised clients. Which client with which change in status is best to assign to the PN?

A. Viral meningitis whose temperature changed from 101°F (38.3°C) to 102°F (38.9°C)
B. Myxedema coma whose blood pressure changed from 80/50 mm Hg to 70/40 mm Hg
C. Subdural hematoma whose blood pressure changed from 150/80 mm Hg to 170/60 mm Hg
D. Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7



Answer :

Final answer:

The charge nurse should assign the Diabetic ketoacidosis client to the practical nurse and the other clients to the registered nurses based on the complexity and acuity of their conditions.


Explanation:

The charge nurse should assign the client with Diabetic ketoacidosis whose Glasgow Coma Scale score changed from 10 to 7 to the practical nurse (PN). This assignment is suitable because managing changes in the Glasgow Coma Scale requires critical thinking and close monitoring, but it does not involve immediate life-saving interventions.

Assigning the other clients with conditions such as Myxedema coma, Subdural hematoma, or Viral meningitis with changing status to the registered nurses (RNs) would be more appropriate due to the complexity and potential need for rapid medical interventions in those cases.


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