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Exam (elaborations)

Evolve Questions -- Chapter 27 Ignatavicius questions with correct answers

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. Which client does the charge nurse on the medical unit assign to an RN who has floated from the post-anesthesia care unit (PACU)? A.)Client with allergic rhinitis scheduled for skin testing B.)Client with emphysema who needs teaching about pulmonary function testing C.) Client with pancreatitis who needs a preoperative chest x-ray D.) Client with pleural effusion who has had 1200 mL removed by thoracentesis Answer ANSWER: D.) The client with pleural effusion who has had 1,200 mL removed by thoracentesis. Reason: A nurse working in the PACU would be familiar with assessing vital signs and respiratory status after procedures such as thoracentesis. Skin testing is performed in the outpatient setting. Pulmonary function testing is not a procedure that requires PACU care. Although a client with pancreatitis is seriously ill and would require a chest x-ray before undergoing operative procedures, a nurse with a PACU monitoring skill set would not be required. 2. The RN and the LPN/LVN are working together to provide care for a client hospitalized with dyspnea who requires all of these nursing actions. Which action is best accomplished by the RN? A.)Administer the purified protein derivative for tuberculosis testing. B.)Assess vital signs and the puncture site after thoracentesis. C.)Monitor oxygen saturation using pulse oximetry every 4 hours. D.)Plan client and family teaching regarding upcoming pulmonary function testing. Answer Answer: D.) Plan client and family teaching regarding upcoming pulmonary function testing.

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