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. Lithium can increase parathyroid hormone (PTH) levels, worsening hyperparathyroidism.
B. Hydrochlorothiazide can raise calcium levels, further exacerbating hypercalcemia in hyperparathyroidism.
C. Sodium phosphate supplements can lower calcium levels, which may actually help, so it does not require immediate discussion.
D. Calcium carbonate can contribute to hypercalcemia and should be used cautiously.
E. Acetaminophen is safe and does not affect calcium levels.
Correct Answer is D
Explanation
A. Feelings of disorientation may be a symptom of heroin use, but addressing the client’s mental health, particularly suicidal tendencies, takes precedence.
B. Undiagnosed social anxiety symptoms may be important for long-term care, but the immediate concern is the risk of self-harm or overdose.
C. Family history of schizophrenia is relevant for mental health but does not take priority over assessing suicide risk in a client using heroin.
D. A history of suicide attempts is crucial for the nurse to consider because individuals using heroin may be at an increased risk of self-harm due to the psychological effects of substance use and potential for overdose. Immediate safety and suicide risk assessment are critical.
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