Pain Management Nursing Practice Exam

Assigning the client with a chest tube post-operation to an experienced registered nurse (RN) is appropriate due to the complexity and potential risks associated with this type of care. A chest tube is typically used to manage pleural effusions, pneumothorax, or postoperative recovery from thoracic surgery. This situation demands a comprehensive understanding of anatomy, physiology, and the management of potential complications, such as tube dislodgment, infection, and proper monitoring of respiratory status and fluid output.

An experienced RN has the knowledge and skills to assess the patient effectively, manage the chest tube system, and intervene promptly if complications arise. This includes monitoring for signs of respiratory distress, ensuring proper functioning of the chest tube, and educating the patient about care requirements.

The other clients present with conditions that are less acute or complex, making them suitable for care by a less experienced nurse. Management of abdominal cramps due to food poisoning and chronic back pain may require routine assessment and comfort measures, while a severe headache of unknown origin may need further investigation but does not carry the immediate risks associated with the management of a patient with a chest tube.