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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. UAPs are trained to take and record vital signs. This ensures the client is stable enough to tolerate ambulation.
B. Reporting dizziness or lightheadedness is essential for ensuring the client's safety during ambulation.
C. Teaching is a nursing responsibility, not delegated to UAPs.
D. Offering assistance to void before ambulating helps reduce the risk of falls and ensures comfort during the walk.
E. UAPs can apply a gait belt if instructed, but determining whether it is needed requires nursing judgment.
Correct Answer is B
Explanation
A. Serum creatinine levels are important for assessing kidney function, but the priority is to assess for signs of fluid retention, which could lead to complications.
B. Diuretics (e.g., furosemide) help remove excess water, reducing fluid overload and preventing complications like pulmonary edema or severe hypertension. This directly addresses the client’s current priority problem: fluid retention and elevated BP.
C. Monitoring sodium intake is important but does not immediately address the current signs of fluid retention.
D. This only assesses for edema but does not treat or prevent worsening overload. Action is needed now, not just monitoring.
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