The RN is serving as preceptor to a new graduate nurse who has recently passed the RN licensure (NCLEX®) examination. The new nurse has only been on the unit for 2 days. Which patient should be assigned to the new graduate nurse?
A 60-year-old patient with diabetes who has cellulitis of the left ankle.
A 50-year-old patient with diabetes just returned from the post-anesthesia care unit after a below-knee amputation.
A 72-year-old patient with diabetes with diabetic ketoacidosis who is receiving IV insulin.
A 70-year-old patient with diabetes who is showing signs of hyperglycemia.
The Correct Answer is A
Choice A rationale: Cellulitis management typically involves wound care, antibiotics, and monitoring. It's a suitable assignment for a new graduate nurse to begin learning about wound management and diabetic care.
Choice B rationale: Post-operative care for an amputation requires experience in assessing and managing post-surgical complications, which might not be suitable for a new graduate nurse.
Choice C rationale: Diabetic ketoacidosis management involves complex insulin therapy and critical care, which might be overwhelming for a new graduate nurse.
Choice D rationale: While hyperglycemia requires monitoring and intervention, the cause and severity need to be determined before assigning this patient to a new
graduate nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: The correct answer is 5 units/hour. To calculate the units of insulin per hour, we need to use the following formula: units of insulin per hour = (units of insulin in the bag / volume of the bag) x infusion rate
Plugging in the given values, we get:
units of insulin per hour = (50 / 100) x 10 units of insulin per hour = 0.5 x 10
units of insulin per hour = 5
Therefore, the client is receiving 5 units of insulin every hour.
Choice B rationale: This is incorrect because it assumes that the infusion rate is equal to the units of insulin per hour, which is not true.
Choice C rationale: This is incorrect because it multiplies the units of insulin in the bag by the infusion rate, which is too high.
Choice D rationale: This is incorrect because it adds the units of insulin in the bag and the infusion rate, which is also too high.
Correct Answer is D
Explanation
Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.
Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.
Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.
Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.