Question

1. You are caring for a patient with esophageal cancer. Which task could be delegated to an a. Assisting the patient with oral hygiene b. Observing the patient's response to feedings c. Facilitating expression of grief or anxiety d. Initiating daily weighings 2. A 56-year-old patient comes to the walk-in clinic reporting scant rectal bleeding and intermittent diarrhea and constipation for the past several months. There is a history of polyps and a family history of colorectal cancer. While you are trying to instruct the client about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis? a. Diarrhea/Constipation related to altered bowel patterns b. Deficient knowledge related to the disease process and diagnostic procedure c. Risk for Deficient Fluid Volume related to rectal bleeding and diarrhea d. Anxiety related to unknown outcomes and perceived threats to body integrity 3 When care assignments are being made for patients with alterations related to gastrointestinal (GI) cancer, which patient would be the most appropriate to assign to an LPN/LVN under the supervision of a team leader RN? a. A patient with severe anemia secondary to GI bleeding b. A patient who needs enemas and antibiotics to control GI bacteria c. A patient who needs preoperative teaching for bowel resection surgery d. A patient who needs central line insertion for chemotherapy 4. For a patient who is experiencing side effects of radiation therapy, which task would be the most appropriate to delegate to the UAP? a. Helping the patient to identify patterns of fatigue b. Recommending participation in a walking program c. Reporting the amount and type of food consumed from the tray d. Checking the skin for redness and irritation after the treatment 5. For a patient who is receiving chemotherapy, which laboratory result is of particular importance that the LPN should monitor? a. White blood cell (WBC) count b. Prothrombin time and partial thromboplastin time c. Electrolyte levels d. Blood urea nitrogen level 6. When staff assignments are made for the care of patients who are receiving chemotherapy, what is the major consideration regarding chemotherapeutic drugs? a. During preparation, drugs may be absorbed through the skin or inhaled. b. Many chemotherapeutic drugs are vesicants. c. Chemotherapeutic drugs are frequently given through central venous access devices. d. Oral and venous routes of administration are the most common.

Answer 1

1.which task could be delegated to a UAP?

d. initiating daily weighings.

reason-UAP are unlicensed assistive professional,they do routine checkup in the patient of oesophaegal cancer,oral hygiene of the patient,weighting,response of the patient to feeding.

2.what is priority diagnosis?

​​​​​​a.diarrhoea/constipation related to altered bowel pattern

Reason-due to the presence of polyp,bowel pattern of the patient get altered.

3.which patient would be the most appropriate to assign to an LPN under the supervision of team leader RN?

b.patient who need enema and antibiotics for control GI bacteria.

Reason-licensed practical nurse are assist and monitor the patients health care and hygiene,helping the patient for taking antibiotics.

4.which task Most appropriate to delegate to UAP?

a.helping the patient to identify the pattern of fatigue.

reason-common side effects for the radiation therapy are fatigue and skin changes.

5.which laboratory test particular for chemotherapy ?

a.white blood count

reason-mainly white blood cells are involved in the immune system and help to destroy the infection.complete blood count also done in the chemotherapy patients,b because chemotherapy destroy the more blood cells.

6.what is the major consideration regarding chemotherapeutic drugs?

b.many chemotherapeutic drugs are vesicant.

reason-some vesicant chemotherapeutic drugs produce skin rashes and blister to the patient,so nurse could consider the vesicant chemotherapeutic drugs.