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. Checking the femoral site for hematoma formation is crucial as the client’s pain at the groin insertion site could indicate bleeding or hematoma formation, which requires immediate attention.
B. Evaluating the IV insertion site is important but does not directly address the pain at the groin site.
C. Stimulating the client to take deep breaths helps with respiratory function but does not address the potential complications at the groin site.
D. Assessing distal lower extremity capillary refill is useful for overall circulation but is not the immediate concern in this situation.
Correct Answer is ["41.7"]
Explanation
Step 1: Convert grams to milligrams
The prescribed dose is 5 grams (g) daily.
- 1 gram (g) = 1,000 milligrams (mg)
- 5 g = 5,000 mg daily
Step 2: Determine the dose per administration
The medication is to be given every 8 hours, meaning the total daily dose is divided into three equal doses:
5,000mg/3=1,666.67mgperdose
Step 3: Use the medication concentration to find the volume
The available suspension is 200 mg per 5 mL. Using the ratio formula:
200mg/5mL=1,666.67mg/XmL
Solve for X:
X=1,666.67×5/200
X=8,333.35/200=41.67mL
Answer: 41.7 mL (Rounded off to the nearest tenth)
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