The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

Administer PRN oral analgesics to a client with a history of chronic pain.

Transport a client who is receiving IV fluids to the radiology department.

Supervise a newly hired graduate nurse during an admission assessment.

Complete ongoing focused assessments of a client with wrist restraints.

Answer and Explanation

The Correct Answer is C

A. Administering PRN oral analgesics can be managed by both RNs and PNs, as this task does not require advanced assessment or decision-making.

B. Transporting a client who is receiving IV fluids can be safely done by UAPs with appropriate supervision.

C. Supervision and evaluation of the performance of a newly hired graduate nurse during an admission assessment are appropriate tasks for an RN, given their experience and clinical judgment.

D. Ongoing focused assessments of a client with wrist restraints require a higher level of clinical judgment and decision-making, which is best handled by an RN.

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Correct Answer is A

Explanation

A. Checking the femoral site for hematoma formation is crucial because pain at the groin insertion site could indicate bleeding or hematoma formation, which is a potential complication of cardiac catheterization.

B. Evaluating the IV insertion site is important but not as directly related to the groin pain as checking the femoral site.

C. Stimulating the client to take deep breaths is helpful for respiratory function but does not address the groin pain issue.

D. Assessing distal lower extremity capillary refill is important for overall circulation but is not the immediate priority in this scenario.

A. "After I squeeze the inhaler and swallow, I always feel a slight wave of nausea, but it goes away." B. "I have a hard time inhaling and holding my breath after I squeeze the inhaler, but I do my best." C. "I never use the inhaler unless I am feeling really short of breath." D. "I always shake the inhaler several times before I start."

Correct Answer is A

Explanation

A. The statement indicates that the client is swallowing the medication rather than inhaling it, which suggests improper use of the inhaler.

B. Difficulty inhaling and holding breath can occur with proper use but does not necessarily indicate incorrect technique.

C. While using the inhaler only when very short of breath may not be optimal management, it does not indicate incorrect use of the inhaler itself.

D. Shaking the inhaler before use is a correct technique to ensure proper medication delivery.

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The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is A

Explanation

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