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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Murmurs can be a normal finding in older adults due to age-related changes in the heart valves or blood flow. They are not necessarily indicative of pathology if they are not associated with symptoms or changes in the client's condition.
B. Absent heart sounds would be abnormal and could indicate severe underlying issues such as cardiac arrest or severe hypovolemia.
C. While no adventitious sounds are generally expected, the presence of murmurs is considered normal in this age group.
D. Adventitious sounds (such as crackles or wheezes) are not normal in heart auscultation and would suggest potential pathologies.
Correct Answer is ["C","D","B","A"]
Explanation
The unit manager should first note the date and time of the behavior to have a record of the incident. This information is crucial for any follow-up actions and for maintaining accurate documentation. Next, the manager should discuss the issue privately with the UAP to understand the reasons behind their actions and to communicate the importance of following unit protocols. After this discussion, planning for scheduled break times can be implemented, which may prevent future occurrences by providing clear expectations and structure. Lastly, the manager should evaluate the UAP for signs of improvement following these interventions to ensure that the behavior has been corrected and to determine if further action is needed.
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