Author Question: Several patients call the outpatient clinic and ask to make an appointment as soon as possible. ... (Read 46 times)

Marty · **on:** Jun 25, 2018

Several patients call the outpatient clinic and ask to make an appointment as soon as possible. Which patient should the nurse schedule to be seen first?

a. 44-year-old with sickle cell anemia who says my eyes always look sort of yellow
b. 23-year-old with no previous health problems who has a nontender lump in the axilla
c. 50-year-old with early-stage chronic lymphocytic leukemia who reports chronic fatigue
d. 19-year-old with hemophilia who wants to learn to self-administer factor VII replacement

Question 2

Which action for a patient with neutropenia is appropriate for the registered nurse (RN) to delegate to a licensed practical/vocational nurse (LPN/LVN)?

a. Assessing the patient for signs and symptoms of infection
b. Teaching the patient the purpose of neutropenic precautions
c. Administering subcutaneous filgrastim (Neupogen) injection
d. Developing a discharge teaching plan for the patient and family

Natalie4ever · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The patient's age and presence of a nontender axillary lump suggest possible lymphoma, which needs rapid diagnosis and treatment. The other patients have questions about treatment or symptoms that are consistent with their diagnosis but do not need to be seen urgently.

Answer to Question 2

ANS: C
Administration of subcutaneous medications is included in LPN/LVN education and scope of practice. Patient education, assessment, and developing the plan of care require RN level education and scope of practice.