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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While explaining medications for anxiety is helpful, understanding the client's specific fears is crucial for addressing their concerns effectively.
B. Reviewing the home health care plan is important but should follow addressing the client's immediate concerns and fears about going home.
C. Asking the client about their fears helps to address specific concerns and provides an opportunity to offer targeted support and reassurance.
D. While privacy is important, it is not as critical as understanding and addressing the client's fears directly.
Correct Answer is B
Explanation
A. Ear pain and fever are not characteristic symptoms of mononucleosis.
B. Mononucleosis is often associated with a positive Epstein-Barr virus (EBV) test and symptoms of malaise, fatigue, and lymphadenopathy.
C. Increased BUN and serum creatinine indicate kidney function issues, which are not typically associated with mononucleosis.
D. While elevated WBC and sedimentation rate can occur, they are nonspecific and can be seen in many conditions; they are not defining symptoms of mononucleosis.
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