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The registered nurse (RN) is gathering supplies to assist a healthcare provider with a bedside thoracentesis when the emergency department (ED) use as to report on a client with unstable angina that must be admitted immediately. A practical nurse (PN) and unlicensed assistive personnel (UAP) as the RN. How should the RN assign the necessary nursing actions?

Assign the PN to go to the ED to obtain report and transport the client while the UAP prepares the room and the RN assists with the thoracentesis.

Assign the UAP to prepare the room while the PN obtains report on the new admission and the RN assists with the thoracentesis.

Assign the UAP to assist with the thoracentesis while the PN goes to the ED to transport the client to the unit and the RN obtains report from the ED use

Assign the PN to assist with the thoracentesis while the nurse obtains report and the UAP prepares the room for the new admission

Answer and Explanation

Correct Answer : D

- Choice A Rationale: This choice is not optimal because the PN has the skills necessary to assist with the thoracentesis, a procedure that requires clinical judgment and skill, which the UAP does not possess. The RN is also needed to obtain the report from the ED due to the complexity of unstable angina, which requires advanced knowledge and assessment skills.

- Choice B Rationale: This option incorrectly assigns the UAP to prepare the room, which is within their scope, but fails to utilize the PN's skills effectively. The PN should be involved in more complex tasks such as assisting with procedures or obtaining detailed reports, rather than the UAP.

- Choice C Rationale: This choice is inappropriate because it assigns the UAP to assist with the thoracentesis, a task they are not trained for and is outside their scope of practice. The RN should be involved in the more complex care of obtaining the report, and the PN should assist with the thoracentesis.

- Choice D Rationale: This is the correct choice because it utilizes all staff members according to their scope of practice and skills. The PN assists with the thoracentesis, a task they are qualified for, the RN obtains the report on the new admission, which requires advanced knowledge, and the UAP prepares the room, a task that fits their role.

- Choice E Rationale: As there is no Choice E provided in the question, no rationale can be given for this option. It is important to follow the instructions and options given in the scenario to provide accurate and relevant information.

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Correct Answer is B

Explanation

Choice A rationale: A client with combined partial and full-thickness burns on the anterior chest with a decreased O2 saturation is likely in need of critical care and should not be transferred to a general unit.

Choice B rationale: A client with nephrotic syndrome and mild edema is the most stable and has the least risk of complications among the four options.

Choice C rationale: The client with thyroidectomy has a risk of bleeding and needs frequent assessment of vital signs and dressing.

Choice D rationale: The client with renal transplant has a risk of rejection and infection and needs strict isolation and immunosuppressive therapy.

A. Client's healthcare power of attorney. B. Increasing confusion of the client. C. Currently prescribed medications. D. Fall at home as reason for admission.

Correct Answer is B

Explanation

Choice A rationale: The assessment is the client's signed power of attorney and a home medication list, which are important documents that indicate the client's wishes and potential drug interactions. While the client's healthcare power of attorney is important information, the reason for admission should be provided first to give context to the situation.

Choice B rationale: The nurse should start by presenting the immediate situation or concern, which is the client's increasing confusion which needs immediate attention. Choice C rationale: The recommendation is the nurse's suggestion for further diagnostic tests, interventions, or referrals based on the situation, background, and assessment. The currently prescribed medications are relevant, but the primary reason for admission should be communicated first to establish the context of the client's condition. Choice D rationale: The background is the fall at home as the reason for admission, which explains the possible cause of the confusion and the loss of consciousness. This comes after the situation which is the increasing confusion.

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Naxlex Comprehensive Predictor Exams

The charge nurse of a critical care unit must transfer a client to a general unit to make a bed available for an incoming trauma client. Based on the information provided, which client is best for the nurse to recommend for transfer to the general unit?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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