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 C

Explanation

A. Decreasing expiratory pressure might not directly address the elevated PaCO2 and low pH.

B. Increasing tidal volume may help, but it’s more critical to address the ventilation rate first.

C. Increasing the rate of ventilation will help blow off more CO2, correcting the respiratory acidosis (elevated PaCO2 and low pH).

D. Decreasing expiratory flow time is less relevant than adjusting ventilation rates in this scenario.

A. Check femoral site for hematoma formation. B. Evaluate the integrity of the IV insertion site. C. Stimulate the client to take deep breaths. D. Assess distal lower extremity capillary refill.

Correct Answer is A

Explanation

A. Checking the femoral site for hematoma formation is crucial as the client’s pain at the groin insertion site could indicate bleeding or hematoma formation, which requires immediate attention.

B. Evaluating the IV insertion site is important but does not directly address the pain at the groin site.

C. Stimulating the client to take deep breaths helps with respiratory function but does not address the potential complications at the groin site.

D. Assessing distal lower extremity capillary refill is useful for overall circulation but is not the immediate concern in this situation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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