Which client assignment is most appropriate for a float registered nurse on a cardiac step-down unit?

The most appropriate client assignment for a float registered nurse on a cardiac step-down unit is the client with heart failure receiving an IV infusion. This option is suitable because float nurses typically have varied backgrounds and may not have specialized experience in managing complex cardiac procedures or critical care situations.

Clients with heart failure who are stabilized and receiving IV infusions typically require ongoing assessment and management, which a float nurse can competently handle, especially if they have a general background in nursing. Heart failure patients are often monitored for vital signs, fluid status, and response to medications, all of which fall within the float nurse's skill set.

In contrast, a client who just returned from coronary angioplasty requires careful monitoring for potential complications associated with the procedure, which may involve more specialized knowledge and skills than what a float nurse might possess. Similarly, a client with atrial fibrillation scheduled for cardioversion could present immediate risks that necessitate a more experienced nurse, given the need for skilled intervention during and post-procedure. Lastly, a client with heart block scheduled for pacemaker placement represents a critical situation that requires a higher level of direct nursing intervention and expertise, which may exceed that available from a float nurse.

Choosing the heart failure patient ensures that the assignment aligns with the