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

An older adult female client with cancer whose children who are trying to decide whether to change to palliative care measures or continue disease control.

A young adult client who is experiencing fatigue while undergoing a series of external beam radiation treatments for stage I cancer.

A middle-aged male client who has just undergone an excisional biopsy and has been told that his tumor appears to be benign.

An adult client in remission after a series of chemotherapy treatments who is receiving intramuscular iron injections for anemia.

Answer and Explanation

The Correct Answer is A

A. An older adult female client with cancer whose children are trying to decide whether to change to palliative care measures or continue disease control. This situation involves complex decision-making and requires the expertise of an RN to provide emotional support, facilitate family discussions, and address ethical considerations, all of which fall within the RN’s scope of practice.

B. A young adult client experiencing fatigue from radiation treatments is stable and can typically be managed by a PN, who can help monitor and address routine symptoms.

C. A middle-aged male client with a benign tumor who is recovering from an excisional biopsy is stable and likely requires minimal nursing care, which a PN can handle.

D. An adult client in remission receiving iron injections is stable and requires routine nursing care, which a PN can provide effectively.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Cardiac tamponade is a life-threatening condition that requires urgent intervention, typically pericardiocentesis to relieve pressure on the heart. Immediate notification to the healthcare provider for preparation of this procedure is the priority.
B. Paradoxical blood pressure (a drop in systolic BP during inspiration) is a key sign of cardiac tamponade, but the most important action is to prepare for pericardiocentesis.
C. Jugular vein distention can be a sign of tamponade, but pericardiocentesis is the priority to address the underlying cause of the symptoms.
D. While monitoring oxygen saturation is important, it is not the most critical action in this emergency situation.

A. Notify the charge nurse the client will need assignment to the COVID-19 specified area of the facility. B. Explain to the client to inform others that they may have been potentially exposed in the last 14 days. C. Don an N95 respirator mask, face shield, gown, gloves, and shoe coverings prior to returning to the room. D. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus.

Correct Answer is C

Explanation

A: Notifying the charge nurse is important but secondary to immediately donning appropriate PPE for direct patient care.

B: Explaining the client’s exposure is helpful, but it does not prioritize the nurse’s own safety and infection control.

C: Wearing full PPE, including an N95 mask, is essential for protecting the nurse and others from COVID-19 transmission, especially with a symptomatic client who may be contagious.

D: Teaching the client about prevention is important but not the immediate priority when entering a potentially infectious environment.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant heart sounds, and is anxious and restless. After initiating oxygen therapy and IV hydration, which intervention is most important for the nurse to implement?

Correct Answer is A

Explanation

The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?

Correct Answer is C

Explanation

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