NYU AE1 Med-Surg Exam QUESTIONS WITH COMPLETE SOLUTIONS

All of these clients are being cared for on the intensive care step-down unit. Which client should the charge nurse assign to an RN who has floated from the pediatric unit? A. Client with acute asthma episode who is receiving oxygen at FiO2 of 60% by non-rebreather mask B. Client with chronic pleural effusions who is scheduled for a paracentesis in the next hour. C. Client with emphysema who requires instruction about correct use of oxygen at home. D. Client with lung cancer who has just been transferred from the ICU after having a left lower lobectomy the previous day. correct answer: A Because asthma is a common pediatric diagnosis, the pediatric nurse would be familiar with the assessment and care needed for a client with this diagnosis. The RN and the nursing assistant are working together to provide care for a group of clients. Which of these nursing activities could the RN delegate to the nursing assistant? A. Auscultate for improvement in breath sounds in a client who has had a right lower lobectomy. B. Document discharge instructions for a client being discharged with new asthma medications. C. Monitor the effectiveness of oxygen therapy for a client admitted with chronic bronchitis. D. Reinforce the use of slow expiration through pursed lips to maximize gas exchange for a client with sarcoidosis. correct answer: D Client education is an RN level skill, but reinforcement of previously taught material can be delegated to unlicensed personnel who are caring for the client.