The parent of a 4-year-old has been battling metastatic lung cancer for the past 2 years. After discussing the remaining options with the healthcare provider, the client requests that all treatment stop and that no heroic measures be taken to save the client's life. After the client is transferred to the palliative care unit, which action is most important for the receiving nurse to take in facilitating continuity of care?

Reassure the client that the client's child will be allowed to visit.

Obtain a detailed report from the nurse transferring the client.

Provide the client written information about end-of-life care.

Mark the chart with client's request for no heroic measures.

Answer and Explanation

The Correct Answer is B

A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.

B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.

C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.

D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Inserting a urinary catheter is a skill that typically requires a licensed nurse's expertise.

B. Titrating oxygen requires assessment and adjustment based on clinical findings, which is outside the UAP’s scope of practice.

C. Handling blood products requires knowledge of transfusion protocols and client assessment, which cannot be delegated to UAP.

D. Monitoring an IV infusion rate is within the UAP scope of practice when the IV line is already established and the infusion parameters are set by a licensed nurse. The UAP can observe for problems (e.g., occlusion, infiltration) and report to the nurse, but they do not initiate or adjust IV medications.

A. An adult client in remission after a series of chemotherapy treatments who is receiving intramuscular iron injections for anemia. B. A young adult client who is experiencing fatigue while undergoing a series of external beam radiation treatments for stage I cancer. C. An elderly female client with cancer whose children who are trying to decide whether to change to palliative care measures or continue disease control. D. A middle-aged male client who has just undergone an excisional biopsy and has been told that his tumor appears to be benign.

Correct Answer is C

Explanation

A. The administration of intramuscular injections can be handled by a practical nurse.

B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.

C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.

D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.

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Naxlex Comprehensive Predictor Exams

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

Correct Answer is D

Explanation

Which client should the charge nurse on the oncology unit assign to an RN, rather than a practical nurse (PN)?

Correct Answer is C

Explanation

A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

Patient Data Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

The school nurse is preparing a teaching pamphlet in response to requests from parents regarding an outbreak of pinworms at the local preschool. Which information about the most commonly prescribed medication, mebendazole, should be included?

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?