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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Metabolic alkalosis is characterized by an elevated HCO3 and pH.
B. Metabolic acidosis is indicated by a low HCO3 (18 mEq/L) and a low pH (7.30). The low PaCO2 is a compensatory response.
C. Respiratory acidosis is indicated by an elevated PaCO2 and a low pH.
D. Respiratory alkalosis is indicated by a low PaCO2 and an elevated pH.
Correct Answer is A
Explanation
A. Discussing initiating hospice care is appropriate to address the client's desire to go home for end-of-life care and to provide support and resources for the family.
B. Extending the hospital stay may not align with the client's wishes for end-of-life care at home.
C. Placing the client in a nursing home may not be in line with the client's preference to go home.
D. While the family may provide palliative care, the nurse should also explore hospice care options for comprehensive support.
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