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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 ["0.75"]

Explanation

Desired dose: 0.1875 mg

Concentration of the reconstituted solution: 0.25 mg/mL

Volume to administer:

Desired dose / Concentration = 0.1875 mg / 0.25 mg/mL = 0.75 mL

A. Blood pressure. B. Apical heart Fate. C. Pulse pressure. D. Level of consciousness.

Correct Answer is A

Explanation

A. Blood pressure. The nurse should assess the client’s blood pressure both while lying down and standing to check for any signs of orthostatic hypotension, which is a drop in blood pressure upon standing.

B. Apical heart rate. While heart rate is important, it is not directly related to the side effect of orthostatic hypotension.

C. Pulse pressure. Pulse pressure (the difference between systolic and diastolic blood pressure) is not the primary assessment when checking for orthostatic hypotension.

D. Level of consciousness. Although important for overall assessment, the primary focus for orthostatic hypotension is blood pressure.

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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

Correct Answer is ["0.75"]

Explanation

The nurse knows that a medication has the side effect of orthostatic hypotension. Which assessment should the nurse make before administering the medication?

Correct Answer is A

Explanation

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