A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?
A client who is being discharged to a long-term care facility
A client who is postoperative following a lobectomy and has a chest tube
A client who needs teaching about insulin self-administration
A client who needs teaching prior to initiating cardiac rehabilitation activities
The Correct Answer is B
A. A client being discharged to a long-term care facility may need comprehensive discharge planning, which involves familiarity with long-term care requirements, but this is not typically within the primary expertise of a PACU nurse.
B. A client who is postoperative following a lobectomy and has a chest tube falls within the PACU nurse's area of expertise. PACU nurses are experienced in monitoring and managing postoperative clients, including those with chest tubes, as these clients require close monitoring for complications such as respiratory distress or chest tube malfunction.
C. Teaching about insulin self-administration is important, but this task is more suited to nurses experienced in chronic care management, such as those from medical-surgical or endocrinology units.
D. Teaching prior to initiating cardiac rehabilitation requires specialized knowledge in cardiac care, which may not be the primary focus of a PACU nurse's practice.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The erythrocyte sedimentation rate (ESR) is a marker of inflammation and is used to monitor the effectiveness of anti-inflammatory treatments such as aspirin in clients with rheumatoid arthritis.
B. Antinuclear antibody (ANA) is used to diagnose autoimmune diseases but is not typically monitored for the effectiveness of aspirin therapy in RA.
C. Rheumatoid factor (RF) is used for the diagnosis of RA, but it does not change significantly with treatment.
D. White blood cell (WBC) count is not a specific marker for monitoring the effectiveness of aspirin in treating RA.
Correct Answer is C
Explanation
A. Omeprazole is not primarily prescribed to enhance nutrient absorption; its main action is to reduce gastric acid secretion.
B. Omeprazole does not specifically affect carbohydrate digestion.
C. Omeprazole is a proton pump inhibitor that reduces the production of gastric acid, which can help alleviate symptoms and promote healing in acute pancreatitis.
D. Omeprazole's primary action is not to reduce the risk of pancreatic infection; it is primarily used to decrease gastric acid production.
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