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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Serum sodium level is not directly related to the presence of infection or the client's ability to fight infection.
B. Platelet count is important for assessing bleeding risk but is not directly related to infection.
C. Hematocrit levels are related to the client's blood volume and anemia status but do not directly indicate infection.
D. Neutrophil count is crucial for assessing the client’s immune response and ability to fight infection. An elevated neutrophil count could indicate an ongoing infection, while a low count could suggest an immunocompromised state.
Correct Answer is D
Explanation
A. Documenting manually does not correct the issue with missing the barcode scan.
B. Overriding the medication system could bypass safety checks and is not appropriate in this situation.
C. Calling the pharmacy for the barcode number is not necessary if the packaging can be retrieved.
D. Recovering the barcode packaging from the trash can allows the nurse to properly scan the barcode, ensuring accurate medication administration and adherence to safety protocols.
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