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You are acting as preceptor for a newly graduated RN during her second week of orientation. You would assign the new RN under your supervision to provide care to which patients? Select all that apply.

A 38-year old with moderate persistent asthma awaiting discharge

A 63-year old with a tracheostomy needing tracheostomy care every shift.

A 56-year old with lung cancer who has just undergone left lower lobectomy

A 49-year old just admitted with a new diagnosis of esophageal cancer.

User Nbonniot
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Final answer:

A newly graduated RN under direct supervision should be given tasks that match their skill level, such as caring for patients on routine dialysis treatment. This allows them to practice essential nursing skills such as patient assessment, monitoring, and ensuring sterile procedures.

Step-by-step explanation:

When assigning a newly graduated RN to provide care under direct supervision of a registered nurse, you would typically choose patients with conditions that offer learning experiences suitable for their current level of expertise and where the supervising RN can easily intervene if necessary. In this case, the RN could focus on providing care to patients with straightforward, non-complex needs. An appropriate patient might be someone receiving routine dialysis treatments, as this involves reviewing a patient’s history, monitoring their current condition, and slightly more technical tasks such as taking vital signs and preparing solutions and equipment, which are important skills for a new nurse to practice.

For instance, the RN could be assigned to a patient with a well-established dialysis routine, where the expectations and potential complications are well understood. This allows the new RN to gain confidence in performing essential nursing tasks, such as assessing and responding to patient needs, monitoring the dialysis process, and reporting vital signs, all while under the close supervision of a more experienced nurse. The focus would be on ensuring accurate and sterile procedures, a critical aspect of patient care.

User Rupam Datta
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