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 C
Explanation
A. While playing with syringes or hospital masks may familiarize the child with some medical equipment, it may not significantly reduce anxiety about surgery.
B. Play therapy with children who have undergone similar surgeries can be beneficial but might not be practical or feasible before surgery.
C. Providing a family tour of the preoperative unit allows the child and family to become familiar with the environment, reducing anxiety by demystifying the process and setting.
D. Providing dolls and equipment can help in expressing feelings, but it may not directly address anxiety about the surgical procedure itself.
Correct Answer is D
Explanation
A. The adult nurse practitioner may be involved in direct patient care but is not typically responsible for coordinating the overall progression of care.
B. The neurology unit supervisor might oversee the neurology-related aspects but not the overall case management.
C. The risk management nurse deals with issues related to patient safety and quality but does not usually coordinate patient care.
D. The nurse case manager is specifically responsible for coordinating the progression of care, including planning, implementing, and evaluating the overall treatment plan.
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