A client has returned to the unit following a cardiac catheterization procedure. Which task is most appropriate for the registered nurse (RN) to delegate to the practical nurse (PN)?
Contact the healthcare provider (HCP) about client's new onset of chest pain.
Resume administration of the anticoagulant medication therapy.
Observe for bleeding at catheter insertion site every 15 minutes.
Monitor electrocardiogram (ECG) for dysrhythmias and other abnormal changes.
The Correct Answer is C
A. Contact the healthcare provider (HCP) about client's new onset of chest pain:
Requires RN assessment before contacting the HCP.
B. Resume administration of the anticoagulant medication therapy:
Requires provider order confirmation and RN verification.
C. Observe for bleeding at catheter insertion site every 15 minutes:
Within PN scope and critical for early detection of complications.
D. Monitor electrocardiogram (ECG) for dysrhythmias and other abnormal changes:
ECG interpretation is RN responsibility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Note that the stool color will be pink tinged:
Ferrous sulfate commonly causes dark green or black stools, not pink.
B. Drink milk with any gastrointestinal upset:
Milk decreases iron absorption and should be avoided with iron supplements.
C. Take with foods that are high in vitamin C:
Vitamin C enhances iron absorption and is recommended.
D. Use the medication for no more than 21 days:
Iron therapy typically continues for several months until stores are replenished, not just 21 days.
Correct Answer is D
Explanation
A. Position an emesis basin under the chin:
Used for conscious clients; aspiration risk here makes side positioning a priority.
B. Insert an oral airway into the oropharynx:
May be indicated but not before positioning to protect airway.
C. Put the foam toothette between the lips:
Oral care should begin only after safe positioning is ensured.
D. Place the client in a side-lying position:
Reduces aspiration risk in unconscious clients during oral care.
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