The practical nurse (PN) is a member of a renal transplant healthcare team. Which action is within the scope of practice of the PN?

Develop processes for community organ donor and recipient screening programs.

Manage clients in acute transplant rejections until the emergency is resolved.

Perform initial assessments for organ damage in acute transplant rejections.

Reinforce client teaching about medications and lifestyle management.

Answer and Explanation

The Correct Answer is D

Rationale:
A. This option is incorrect because developing community screening programs is a role for advanced practice nurses, nurse educators, or healthcare administrators. It involves planning and leadership responsibilities beyond the PN scope of practice.

B. This option is incorrect because managing acute transplant rejection is a complex, high-risk intervention requiring critical thinking and clinical decision-making within the RN or physician scope. PNs provide supportive care but do not independently manage emergencies.

C. This option is incorrect because performing initial assessments for organ damage in acute transplant rejections requires advanced clinical judgment and interpretation of complex data, which falls within the RN scope of practice.

D. This option is correct because reinforcing teaching about medications, diet, lifestyle modifications, and follow-up care is within the PN’s scope. The PN can review previously provided education, clarify instructions, and support adherence to the treatment plan, which is essential for transplant success and client safety.

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Correct Answer is B

Explanation

Rationale:
A. This option is incorrect because applying moisturizing cream alone does not relieve pressure on the affected area. Erythema, especially over a bony prominence like the hip, may indicate early pressure injury, and pressure relief is the priority.

B. This option is correct because repositioning the client at least every 2 hours reduces prolonged pressure on bony prominences, improves circulation, and helps prevent progression of a pressure injury. This is a cornerstone intervention in pressure injury prevention and management.

C. This option is incorrect because lifting a client using incontinent pads can cause friction and shear, increasing the risk of skin breakdown and worsening erythema. Proper lifting devices should be used instead.

D. This option is incorrect because range of motion exercises promote circulation and joint mobility but do not directly relieve continuous pressure on the hip, which is the primary cause of erythema.

A. Provide oxygen by nasal cannula or face mask. B. Administer bronchodilator and opioid medications. C. Position the client upright with head tilted slightly backward. D. Prepare for possible intubation and mechanical ventilation. E. Keep room warm and have extra blankets available.

Correct Answer is ["A","B","E"]

Explanation

Rationale:
A. This option is correct because providing oxygen via nasal cannula or face mask can help relieve dyspnea and provide comfort, even if the client is not hypoxic. Oxygen is a common palliative intervention to ease breathing distress at the end of life.

B. This option is correct because bronchodilators and opioids are frequently used in end-of-life care to relieve dyspnea. Bronchodilators can ease airway constriction, while opioids reduce the perception of breathlessness and improve comfort.

C. This option is incorrect because positioning the client upright with the head tilted slightly backward is not recommended. Instead, a semi-Fowler’s or Fowler’s position with the head slightly forward is safer and more effective in relieving dyspnea. Tilting the head back can worsen airway obstruction or discomfort.

D. This option is incorrect because preparing for intubation and mechanical ventilation is not consistent with palliative or comfort-focused care for a dying client. These interventions are invasive and may not align with the goals of end-of-life care.

E. This option is correct because keeping the room warm and providing extra blankets helps maintain comfort, reduces shivering, and supports overall palliative care needs, which is an essential aspect of end-of-life care.

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The practical nurse (PN) is a member of a renal transplant healthcare team. Which action is within the scope of practice of the PN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When completing a focused skin assessment of a client, the practical nurse (PN) notices erythema on the client's right hip. Which should the PN include in the client's plan of care?

Correct Answer is B

Explanation

A client who is dying is experiencing dyspnea. Which end-of-life (EOL) intervention(s) should the practical nurse (PN) implement? Select all that apply

Correct Answer is ["A","B","E"]

Explanation

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