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","D"]

Explanation

A. A bounding radial pulse does not specifically indicate the patency of an AV fistula; it is a general assessment of peripheral pulse quality.

B. Distended veins in the hand may indicate venous congestion but are not a reliable indicator of fistula patency.

C. The presence of a thrill (a palpable vibration) over the AV fistula indicates proper blood flow through the fistula.

D. The presence of a bruit (a whooshing sound) over the AV fistula indicates the flow of blood through the fistula, confirming patency.

Correct Answer is []

Explanation

In an infant, a bulging fontanel is a classic sign of increased intracranial pressure. The fontanel, or soft spot on the top of the skull, can bulge when there is a buildup of pressure inside the skull, often due to conditions like hydrocephalus or complications with a ventriculoperitoneal shunt.

Preparing for a CT scan is crucial for diagnosing underlying causes of increased intracranial pressure, which could be related to shunt issues or other intracranial abnormalities.

Implementing seizure precautions ensures safety and readiness for possible seizures due to elevated intracranial pressure.

Monitoring pupil size helps assess neurological status and detect signs of increased intracranial pressure.

Tracking heart rate helps in identifying changes that may indicate deterioration in the infant’s condition related to increased intracranial pressure.

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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

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.

Correct Answer is ["C","D"]

Explanation

Correct Answer is []

Explanation

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