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

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

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

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

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

Answer and Explanation

The Correct Answer is C

A. The administration of intramuscular injections can be handled by a practical nurse.

B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.

C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.

D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.

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Correct Answer is C,D,B,A

Explanation

The unit manager should first note the date and time of the behavior to have a record of the incident. This information is crucial for any follow-up actions and for maintaining accurate documentation. Next, the manager should discuss the issue privately with the UAP to understand the reasons behind their actions and to communicate the importance of following unit protocols. After this discussion, planning for scheduled break times can be implemented, which may prevent future occurrences by providing clear expectations and structure. Lastly, the manager should evaluate the UAP for signs of improvement following these interventions to ensure that the behavior has been corrected and to determine if further action is needed.

A. Assess the client's ability to communicate with the other staff members. B. Establish a structured routine for the client to follow. C. Arrange a meeting with the family to discuss the client's situation. D. Administer the client's antidepressant medication as prescribed.

Correct Answer is B

Explanation

A. Assessing the client's ability to communicate is important but not the first step in addressing the immediate concerns related to depression.

B. Establishing a structured routine helps provide stability and encourages engagement in daily activities, which is essential for managing depression.

C. Arranging a meeting with the family is important for support but does not immediately address the client’s current refusal to eat or bathe.

D. Administering medication is important but should follow the implementation of supportive measures like establishing a routine that can improve the client's overall engagement and well-being.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is C,D,B,A

Explanation

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

Correct Answer is B

Explanation

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?

A client is admitted to the mental health unit for feelings of depression secondary to a positive HIV report. To provide a safe milieu for this client, which action should the nurse take?

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Patient Data Exhibits To start the client on oxygen as prescribed, which item(s) should the nurse collect from the supply room? Select all that apply.

The school nurse is preparing a teaching pamphlet in response to requests from parents regarding an outbreak of pinworms at the local preschool. Which information about the most commonly prescribed medication, mebendazole, should be included?

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?