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

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

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

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

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

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

A. Maintaining strict intake and output is crucial in managing septic shock as it helps to monitor fluid balance, which is essential for managing hypovolemia and ensuring adequate perfusion.

B. While assessing warmth of extremities is important, it is not as directly related to the immediate management of septic shock as monitoring intake and output.

C. Monitoring blood glucose levels is important, especially in septic patients, but it is not the primary focus in the initial management of septic shock.

D. Keeping the head of the bed raised 45 degrees can help with breathing but is not the most critical intervention in the immediate management of septic shock.

A. Administer antiemetics as needed. B. Withhold food and fluid intake. C. Evaluate intake and output ratio. D. Initiate IV fluid replacement.

Correct Answer is D

Explanation

A. Administering antiemetics is important for symptom management but does not address the primary issue of fluid balance and pancreatic inflammation.

B. Withholding food and fluid intake is a necessary intervention for managing acute pancreatitis, but it is secondary to ensuring adequate fluid resuscitation.

C. Evaluating intake and output is important for monitoring fluid balance but is less critical than initiating fluid replacement.

D. Initiating IV fluid replacement is the highest priority as it addresses the risk of dehydration and maintains hemodynamic stability, which is crucial in acute pancreatitis management.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

When planning care for a client with acute pancreatitis, which nursing intervention has the highest priority?

Correct Answer is D

Explanation

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

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?

An older client with Type 2 diabetes reports experiencing leg pain when walking short distances, and that the pain is relieved by rest. Which client behavior indicates an understanding of healthcare teaching to promote more effective arterial circulation?

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?

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

Exhibits Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The diabetic nurse educator instructs the client to perform fingerstick blood glucose (FSBG) monitoring dropdown and dropdown.

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