Which client does the nurse safely delegate to the LPN/LVN who has been assigned to the unit for the first time?
a. Young adult who is 6 hours post radical neck dissection
b. Older adult client with esophageal cancer who is awaiting gastric tube placement
c. Client who is status post laryngectomy and is awaiting discharge teaching
d. Client who is awaiting preoperative teaching for laryngeal cancer
B
The nurse can delegate stable clients to the LPN. The client who is 6 hours post surgery is not yet stable. The RN is the only one who can perform discharge and preoperative teaching. Teaching cannot be delegated.
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A patient believed to have acromegaly asks the purpose of the diagnostic glucose tolerance test (GTT). What is the most accurate response by the nurse?
a. "The doctor wants to know if you have either diabetes or acromegaly." b. "The growth hormone will cause the glu-cose to be used up very quickly during the test." c. "It measures the growth hormone in the presence of oral glucose levels at specified times." d. "It tells whether your thyroid reacts to the high levels of sugar taken during this test."
The nurse is providing information for a client who will self-administer a twice-daily antidysrhythmic medication at home. Which client statements would the nurse evaluate as indicating good understanding of this process?
Standard Text: Select all that apply. 1. "If I get the flu, I should stop taking the medication until my fever goes down." 2. "I should take my doses as close to 12 hours apart as I can." 3. "If I forget a dose of medication I should take two pills for the next dose." 4. "If I can't take the medication for a couple of days because I am sick, I should call the clinic for advice." 5. "I should get my prescription refilled before I am completely out of medicine."
A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?
a. Been cancer free for 5 years after diagnosis b. Been cancer free for 3 years after diagnosis c. Had cancer and is declared cancer free d. Had cancer and extends until death
Which of the following nursing interventions is appropriate in providing care for an adult patient with newly diagnosed adult onset polycystic kidney disease (PKD)?
A. Help the patient cope with the rapid progression of the disease. B. Suggest genetic counseling resources for the children of the patient. C. Expect the patient to have polyuria and poor concentration ability of the kidneys. D. Implement appropriate measures for the patient's deafness and blindness in addition to the renal problems.