A long-term-care client with chronic lymphocytic leukemia has a nursing diagnosis of Activity Intolerance related to weakness and anemia. Which of these nursing activities is most appropriate for you, as the charge nurse, to delegate to a nursing assistant?

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Question 1 of 5

A long-term-care client with chronic lymphocytic leukemia has a nursing diagnosis of Activity Intolerance related to weakness and anemia. Which of these nursing activities is most appropriate for you, as the charge nurse, to delegate to a nursing assistant?

A. Evaluate the client's response to normal activities of daily living. B. Check the client's blood pressure and pulse rate after ambulation. C. Determine which self-care activities the client can do independently. D. Assist the client in choosing a diet that will improve strength.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse in the outpatient clinic is assessing a 22-year-old with a history of a recent splenectomy after a motor vehicle accident. Which information obtained during the assessment will be of most immediate concern to the nurse?

A. The client engages in unprotected sex. B. The client has an oral temperature of 99.7Â°F. C. The client has abdominal pain with light palpation. D. The client admits to occasional marijuana use.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

You are the charge nurse in an oncology unit. A client with an absolute neutrophil count (ANC) of 300/mmÂ³ is placed in protective isolation. Which staff member should you assign to provide care for this client, under the supervision of an experienced oncology RN?

A. An LPN who has floated from the same-day-surgery unit B. An RN from the float pool who usually works on the surgical unit C. An LPN with 2 years of experience on the oncology unit D. An RN who transferred recently from the ED

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client with acute myelogenous leukemia is receiving induction phase chemotherapy. Which assessment information is of most concern?

A. Serum potassium level of 7.8 mEq/L B. Urine output less than intake by 400 mL C. Inflammation and redness of oral mucosa D. Ecchymoses present on anterior trunk

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin's lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client?

A. Check the skin for signs of redness or peeling. B. Apply alcohol-free lotion to the area after cleaning. C. Explain good skin care to the client and family. D. Clean the skin over the area daily with a mild soap.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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