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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Disagree with the statement and set clear limits on talking about it. Disagreeing can cause conflict and worsen the delusion, making it important to use a nonconfrontational approach.
B. Immediately inform the healthcare provider that the client is experiencing a delusional episode. While the provider should be informed later, the immediate action should be to address the delusion with care.
C. Attempt to comfort the client by agreeing with the delusions and ask open-ended questions. Agreeing with delusions reinforces them and does not address the underlying issue.
D. Present a personal perception of reality in a nonconfrontational manner. Gently correcting the client's delusion by presenting reality helps the client understand the situation without challenging their beliefs directly, which could escalate anxiety.

A. Brain damage with CP is not progressive but does have a variable course. B. CP is one of the most common permanent physical disability in children. C. Continued development of the brain lesion determines the child's outcome D. Severe motor dysfunction determines the extent of successful habilitation.

Correct Answer is A

Explanation

A. Cerebral palsy is caused by brain injury or abnormal development, but the damage itself does not worsen over time. The severity of symptoms can vary as the child grows, but it is not progressive.

B. While CP is a permanent disability, this response does not address the client’s concern about the progression of symptoms.

C. The brain lesion in CP does not continue to develop in most cases, so this explanation would not provide accurate information.

D. Severe motor dysfunction does not solely determine the child’s outcome, as therapy and early interventions can significantly improve functional abilities.

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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

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

Correct Answer is D

Explanation

The mother of a child with cerebral palsy (CP) asks the nurse if her child's impaired movements will worsen as the child grows. Which response provides the best explanation?

Correct Answer is A

Explanation

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