The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?
The 44year-old client was newly diagnosed with myocardial infarction.
The 50-year-old client started complaining of crushing chest pain.
The 95-year-old client who is scheduled for a cardiac catheterzation and requires patient teaching
The 65-year-old client admitted today with unstable angina
The Correct Answer is C
Choice A rationale: A client newly diagnosed with myocardial infarction would require a nurse with more experience due to the complexity and potential instability of the condition678910.
Choice B rationale: A client complaining of crushing chest pain could be experiencing a serious condition such as a myocardial infarction. This client would require a nurse with more experience678910.
Choice C rationale: A client scheduled for a cardiac catheterization and requires patient teaching would be an appropriate assignment for a new graduate nurse. This client is stable and the task of patient teaching is within the scope of a new graduate678910.
Choice D rationale: A client admitted with unstable angina would require a nurse with more experience due to the potential for rapid changes in the client’s condition678910.
So, the correct answer is C, after analysing all choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: An elevated ST segment is not typically associated with hypokalemia45.
Choice B rationale: A widened QRS complex is not a typical finding in hypokalemia45.
Choice C rationale: An inverted P wave is not a typical sign of hypokalemia45.
Choice D rationale: An abnormally prominent U wave is a common EKG finding in hypokalemia45.
So, the correct answer is Choice D, after analysing all choices.
Correct Answer is C
Explanation
A. Docusate sodium 200 mg PO at bedtime:
This prescription seems appropriate. Docusate sodium is a stool softener commonly used to prevent or alleviate constipation. Taking it at bedtime can help ensure a regular bowel movement in the morning.
B. Meloxicam 15 mg PO daily:
This prescription is generally appropriate. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. The daily dosing is common, but the nurse should assess for any contraindications or potential issues with the patient's renal function since NSAIDs can affect the kidneys.
C. Regular insulin 8 units subcutaneous before meals:
This prescription requires clarification. While the prescription indicates the correct medication and route (regular insulin subcutaneously), it lacks specificity regarding the timing in relation to meals. Regular insulin is typically given 30 minutes before meals to control postprandial blood glucose levels. The nurse should contact the provider to confirm the appropriate timing.
D. Fentanyl 25 mcg/hr transdermal patch:
This prescription seems appropriate. Fentanyl is a potent opioid analgesic, and a transdermal patch provides continuous pain relief over an extended period. The dose is specified in micrograms per hour (mcg/hr), which is a common method for administering continuous medications
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