The charge nurse is making shift assignments on a pediatric oncology unit. Which delegation or assignment would be most appropriate.
Delegate the Unlicensed Assistive Personnel to obtain routine blood work from the central line.
Instruct the Licensed Practical Nurse to contact the leukemia support group.
Assign the chemotherapy-certified Registered Nurse to administer chemotherapeutic medication.
Have the dietitian check the meal trays for the amount eaten.
The Correct Answer is C
Choice A rationale
Unlicensed Assistive Personnel (UAP) are generally not permitted to perform invasive procedures or tasks that require specialized nursing knowledge, sterile technique, or clinical judgment, such as accessing or drawing blood from a central venous catheter. This procedure carries risks of infection and occlusion, requiring a licensed nurse.
Choice B rationale
Counseling, patient education, and support group referrals for complex medical conditions like leukemia require the specialized knowledge and judgment of a Registered Nurse (RN). A Licensed Practical Nurse (LPN) may reinforce teaching but initiating contact and providing detailed support information is outside their typical scope of practice for an oncology patient.
Choice C rationale
Administration of chemotherapeutic agents is a high-risk intervention that requires specialized certification and extensive training due to the potent nature of the drugs and the serious potential for adverse effects. This task is most appropriate for a chemotherapy-certified Registered Nurse to ensure patient safety and adherence to strict protocols.
Choice D rationale
A dietitian's role is to assess and manage nutritional status. Checking meal trays for intake is a routine assessment that can be completed by any member of the care team, including a UAP or nurse. However, the primary responsibility for complex nutritional assessment belongs to the dietitian, making this a fitting assignment for them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hypoglycemia, a condition of low blood glucose (normal range 40-60 mg/dL in neonates), is not prevented by phytonadione (vitamin K). This condition is primarily related to inadequate glucose stores or production, often seen in large or small for gestational age infants or those whose mothers had diabetes. Vitamin K is essential for coagulation factor synthesis, not glucose metabolism regulation.
Choice B rationale
Hyperbilirubinemia, characterized by elevated serum unconjugated bilirubin (jaundice), is not prevented by routine vitamin K administration. This condition results from increased breakdown of fetal red blood cells and the neonate's immature liver function being unable to adequately conjugate and excrete bilirubin. Vitamin K does not directly influence bilirubin processing or excretion pathways.
Choice C rationale
Phytonadione (vitamin K) is administered to neonates to prevent Vitamin K Deficiency Bleeding (VKDB), previously known as hemorrhagic disease of the newborn. Vitamin K is crucial for the liver's synthesis of coagulation factors II, VII, IX, and X. Neonates have low vitamin K stores and insufficient gut flora to produce it, making supplementation necessary to prevent life-threatening bleeding.
Choice D rationale
Polycythemia is an abnormally high concentration of red blood cells (hematocrit > 65.
Correct Answer is ["4200"]
Explanation
Step 1 is: 70 units/kg × 60 kg.
Step 2 is: 4200 units. The final calculated answer is 4200 units.
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