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Which client should the charge nurse on the oncology unit assign to a registered nurse (RN), rather than a practical nurse (PN)?

An older adult female client with cancer whose children who are trying to decide whether to change to palliative care measures or continue disease control.

A young adult client who is experiencing fatigue while undergoing a series of external beam radiation treatments for stage I cancer.

A middle-aged male client who has just undergone an excisional biopsy and has been told that his tumor appears to be benign.

An adult client in remission after a series of chemotherapy treatments who is receiving intramuscular iron injections for anemia.

Answer and Explanation

The Correct Answer is A

A. An older adult female client with cancer whose children are trying to decide whether to change to palliative care measures or continue disease control. This situation involves complex decision-making and requires the expertise of an RN to provide emotional support, facilitate family discussions, and address ethical considerations, all of which fall within the RN’s scope of practice.

B. A young adult client experiencing fatigue from radiation treatments is stable and can typically be managed by a PN, who can help monitor and address routine symptoms.

C. A middle-aged male client with a benign tumor who is recovering from an excisional biopsy is stable and likely requires minimal nursing care, which a PN can handle.

D. An adult client in remission receiving iron injections is stable and requires routine nursing care, which a PN can provide effectively.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

Bruises in various stages of healing: This often indicates physical abuse, as it suggests trauma or injury from external force.

Over-sedation: This could be indicative of physical abuse if it is intentional or misuse of medications.

Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.

Leaving an older adult in a public space: This is a clear indicator of abandonment, as it shows neglect of the individual's safety and well-being.

Untreated pressure injuries: These are signs of neglect, reflecting a failure to provide adequate care and prevent injuries.

Poor personal hygiene: Often a result of neglect, indicating a lack of attention to the individual's basic needs and self-care.

A. EMR tracking alerts the hospital information system of the nurse's attempts to access the record. B. The daughter's permission needs to be obtained before the information can be shared by the nurse. C. Encourage the friend to share her concerns with her daughter and other family members. D. Review of the EMR violates client confidentiality and is not permitted legally or ethically. E. EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client.

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

Explanation

A. EMR systems track access attempts, which ensures accountability and transparency regarding who views the records.
B. The nurse must obtain the daughter’s permission to share her health information, as it is protected under confidentiality laws.
C. The nurse should encourage the friend to address concerns directly with the daughter, as unauthorized access to the EMR is unethical and illegal.
D. Unauthorized access to the EMR for personal reasons violates patient confidentiality and is not allowed.
E. Access to the EMR is restricted to personnel directly involved in the care of the client, ensuring patient privacy and data security.

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Which client should the charge nurse on the oncology unit assign to a registered nurse (RN), rather than a practical nurse (PN)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

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

Explanation

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

When changing the client's dressing for a vacuum-assisted closure (VAC) wound therapy system, the nurse observes foul, purulent drainage. Which intervention(s) should the nurse implement? Select all that apply.

Patient Data Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Drag from Word Choices to complete the sentence. The client receiving epidural anesthesia would be at risk for developing dropdown due to dropdown.

The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse assign to the UAP?

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.