# A nurse from the postpartum unit is floated to a medical-surgical unit. Which assignment is most appropriate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394110&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

A nurse from the postpartum unit is floated to a medical-surgical unit. Which assignment is most appropriate?

## Option

1. A client with chest pain and new ST-segment changes
2. A client with a fresh tracheostomy requiring frequent suctioning
3. A client receiving a titrated vasoactive infusion
4. A stable client awaiting discharge after an uncomplicated appendectomy **✔ Correct answer**

**Correct answer: 4**

## Explanation

A floated nurse should receive clients whose needs match the nurse's competence and require stable, predictable care when possible. A stable postoperative discharge client is the safest option. Fresh tracheostomy care, vasoactive infusion titration, and acute cardiac changes require specialized or high-acuity competence.

## In-depth explanation

Clinical Judgment
Safe assignment matches client acuity with nurse competence.

Memory Tip
Float nurse: stable and predictable.

## Clinical scenario

Clinical Practice Guide
Assignment decisions consider acuity, stability, required skills, supervision, and staff competence.

Caution
Floating does not mean assigning beyond safe competence.

## Key concepts

- **Acuity** — The seriousness and complexity of a client's care needs.
- **Competence** — The ability to perform a task safely based on knowledge, skill, and experience.
- **Assignment** — Distribution of client care responsibilities to nursing staff.

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