a charge nurse is making client care assignmentsa charge nurse is making client care assignments

3. The nurse is using which of the following therapeutic communication techniques? 2. The client is apparently stable and does not require any advanced assessment skills or specialized care. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. The report should contain consequences. Teaching insulin self administration to a diabetic client. Doing this at the end of the shift could prevent completion of the client assignment sheet for the next shift and possibly create unnecessary overtime for the charge nurse. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. c. Providing anticipatory guidance to a client in crisis c. Distended bladder Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. What actions should a nurse take to provide continuity of care when discharging a client diagnosed with hemiparesis to a long-term care facility for rehabilitation? Both of these clients are terminal. 1., 3, & 4. Which of the following actions should the nurse include in the plan? A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. d. Counting radial pulse Ambulating a client who is 2 days post vaginal hysterectomy 4. Hanging a new bag of total parenteral nutrition (TPN). However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). a. There are a total of 10 adult clients. b. 4. The client is reporting anxiety, discomfort, and a feeling of bloating. When assigning nurses to patients, the charge nurse must consider the acuity of the patient's condition, the skills of the nurse, and the availability of other staff members. The body needs vitamin B12 to make red blood cells. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen So, the UAP can assist a client to brush and floss teeth. Complete blockage of the large intestine. This is outside the scope of practice for the LPN/LVN. a. The client then states, "I have changed my mind and do not want to have the procedure done." Feedback 1. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? b. The nurse caring for the client at the time of death requests organ donation The RN requests reassigning at least one of the clients to another nurse. Decreased RBC production 3. Select all that apply Reporting laboratory findings to a member of the client's family A nurse is caring for a client who is scheduled for an elective surgical procedure. 1. A nurse is working with an assistive personnel (AP) to 3. A nurse is assessing a client who has narcolepsy. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. e. Time, c. The nurse may serve as a witness to informed consent for organ donation (nurses may witness the consent for organ donation after a specially trained professional requests consent), 23. Assign more daily tasks to the UAP. Airborne d. What have you done in the past to cope with this issue? Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? a. I will keep my walker at the end of my bed 2. Check environment for potential safety hazards. Have another nurse finish preparing the medications 2. Make nursing assignments appropriate to the skill level . A client requesting assistance packing his belongings for discharge later today., c. Physical therapist Explore the client's feelings 2. b. d. Assault, b. Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? A charge nurse is making assignments for an oncoming shift. 5. The LPN/LVN can reinforce teaching. Removing the client's dentures Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. 4. Show client who has conjunctivitis how to clean the eyes. b. d. I hope I don't have to take as many pain pills, d. Left forearm (allows for easy access and doesn't interfere with the IV catheter), 46. 3. 2. The RN with 8 years' experience in the Intensive Care Unit. 6. 5. Showing disapproval This task cannot be delegated to the LPN/LVN. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. a. Clarifying 4. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. 3. Correct: This group of clients is primarily med surgical. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. This is on the "Do Not Use" list of abbreviations because the period after the "Q" can be mistaken for "I", which would be interpreted as qid (four times a day) instead of the intended once daily dosage. Incorrect: This would unnecessarily alarm the clients. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. c. The client's culture A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. Incorrect: Obtaining the urinary output of a client at the end of the shift is appropriate for the nursing assistant and should be documented and reported to the RN. Which client can be assigned to the LPN? d. Transporting a cerebrospinal fluid specimen to the lab c. Changing a dressing Select all that apply Semi-formed stools are great news! Client scheduled for a dressing change to foot ulcer. Document what the nurse believes was the cause of the ulcer development c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Simply accept the assignment since overtime is mandatory. 3. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Discuss the competency of the surgeon a. Clarification Which nursing intervention should the charge nurse implement? Which of the following actions should the nurse take? Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. Document current functional status assessment c. I suggest you talk with a mental health counselor about your concerns d. To identify delayed gastric emptying, a. Auscultate breath should at least ever 2 hr (priority action the nurse should contribute to the plan of care when using the ABC approach to client care in auscultating breath sounds to determine the client's need for suctioning; with inactivity, secretions can pool in the airways, diminishing breath sounds and causing crackles and dyspnea), 43. Correct: Communication is important in delegation, as is follow-up. 2. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. Reach around the pack and open the top flap away from the body Report of feeling pressure Client two days post percutaneous endoscopic gastrostomy (PEG) placement. It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. b. d. When asking if the client took his medications this morning, 82. 3. ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. a. 3. b. This client could be transferred with traction still maintained. The client states, "I'm feeling a bit nervous today." The other options may be correct but are not the best first action. Notify the primary healthcare provider of transfer completion. Decreased or suppressed respiration are priority. Where on the body is each type of skin found? c. Tie linen bags securely at the top An increased temperature will have a direct effect on the brain's metabolism and function. A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." b. 3. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back). 4. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? Describe the types of machining operations that can be performed on a lathe. 1. The nursing supervisor may be able to assist with client care until another nurse can come in to work. 2. a. Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. d. Reduced blood viscosity, a. Auscultating heart sounds Which of the following statements should the preceptor make? If your reasons for refusal were client safety, nurse safety, or an imperative personal commitment, document this carefully including the process you used to inform the facility (nurse manager) of your concerns. Explain to the RN that all the nurses have the same number of clients. The nurse voices his concern to the charge nurse. There are a total of 10 adult clients. 2. & 3. Which of the following communication techniques should the nurse use during this phase? c. Do not eat or drink anything the morning of the test Select all that apply 4. Risperidone .5 mg PO daily 2. a. In which situation should the nurse consult the client's advanced directive? Gather and apply dressings to open wounds. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. It is within the LPNs scope of practice to administer antibiotics. d. Place the tablet directly into a medication cup, 36. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. Initiate oxygen and IV lines as needed. Which clients should be assigned to the CNA? Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. b. Verbalize understanding of how the client feels 2. b. A nurse is filling out an incident report after finding a client lying on the floor. Select all that apply To focus on effective learning with this client, which of the following interventions should the nurse use? 208 1. The nurse is using which level of communication at this time? b. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. However, providing care for missing teeth would also be within the LPN scope of practice. This will take a lot of time, and the charge nurse can get the information needed from the nurses caring for the clients in order to make appropriate client assignments for the next shift. Correct. The client was lying on the floor next to his bed c. Contact The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. The nurse also needs to be aware of the color and amount of urine voided. 4. c. I'll wear low heeled shoes from now on 3. Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines. 1. A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. The best practice committee works to improve clinical practice based on current research. Since the enema would clean below the obstruction, the client would be able to expel the enema and any feces in this part of the colon. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. Because the charge nurse observes and weighs . 4. Following a large hurricane, multiple clients arrive at the emergency room for treatment. A nurse is creating a discharge plan. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. b. A nurse is caring for a client who has emphysema and has difficulty with mobility. 3. d. Respite care is a continuation of psychological support after a family member dies. In what order should the nurse see the clients? a. A client with a fractured right humerus who reports the cast is too tight. Which of the following instructions should the nurse include? 5. a. 4. c. Document in the client's medical record that she completed an incident report 5. Observe the client before taking further actions This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. Refuse the delegated intervention. Stand directly in front of the client a. It's unfortunate that I have to be in the hospital for this treatment Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). Charge nurses have integral roles in healthcare organizations. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? 1. c. Offering false reassurance 4. c. Decreased sodium excretion b. A charge nurse is making client care assignments. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. 2. d. Apply cornstarch to keep the skin dry, b. Wash the area of the puncture thoroughly with soap and water (the greatest risk to this client is injury from any bloodborne pathogens on the needle therefore the first action the nurse should take is to provide immediate first aid), 28. The nurse should not be assigned to provide care if impairment is suspected. Which of the following infection-control precautions should the nurse use caring for this client? c. Nonfat milk 5. Limit the client's fluid intake in the evening M2.4 Making Client Care Assignments - GECC.pdf - Course Hero a. b. I'm so sorry to hear about this c. Helping the client into the shower 3. Teach caregivers memory enhancement aids. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. 2., 3. a.) Inform the client of the need to avoid irritants such as carbonated beverages. *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. The nurse who made the medication error should take which of the following actions first? This would be out of the UAP's scope of practice. 1. Drag and Drop the items from one box to the other. (Select all that apply.). Incorrect: Is phantom pain something that is unexpected with above the knee amputations? However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. A family member requests that the nurse apply restraints. Serve milk products separately from meals Ask for any staff objections to rearranging work hours. 3. C. Review a low-sodium diet for a client who has hypertension. a. I'll provide more stimulation in his environment Which of the following statements should the nurse make? 2. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. c. Measurement of residual urine after urination Moistening the dentures prior to inserting them c. Can you tell me why you chose me? A client has been admitted with folic acid deficiency anemia. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. 2. Correct. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. The UAP can assist clients with hygiene care, so it is within the scope of practice for the UAP to assist a client with a sitz bath for the postpartum client. The last client would be the one needing dietary education. A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. The key word in the stem is first. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage 2. A nurse has completed an informed consent form with a client. We see that the temperature is already elevated, which makes us worry that infection is present. Disconnect client's nasogastric (NG) tube suction to allow ambulation. 4. Solved A charge nurse is making client care assignments. | Chegg.com The nurse can also accept the assignment; however, that nurse should document professional concern for client safety and the process you used to inform the facility (manager) of your concerns. 1. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. 4. Which of the following actions should the nurse take regarding informed consent? c. There is fluid leaking around the insertion site The nurse is caring for four clients. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. 3. The reason for the UAP not feeding the client needs to be determined. d. Left forearm, b. What should the nurse do first? Incorrect: Informing is the same thing as teaching. Which of the following findings indicates that the client is meeting this goal? The client with chronic emphysema has expected shortness of breath. c. Check to see if the suction equipment is working d. Social conversation, a. A float nurse arrives on the unit to assist in the care of clients for the shift. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. 4. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. Which of the following actions should the nurse take? The spouse can rescind the Advance Directive if the client becomes unresponsive. The nurse considers various ideas submitted by team members. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. b. _________________ (magnanimous), a. generous e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. b. I will bear the weight of my body on my hands Relax her abdominal muscles when she lifts an object For which of the following actions should the nurse intervene? One important aspect is encouraging the flow of ideas between management and staff members. A nurse asks a client how he is feeling. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. a. d. Move to the opposite side of the pack and open the fourth flap, 54. 5. a. A nurse is preparing to move a client who is only partially able to assist up in a bed. The nurse chooses to confront the client. This client can wait until the others are treated. A client on a surgical unit frequently quarrels with the staff. Which client should the nurse assess first? 3. 4. Place the client in a lateral position 3. 1. d. Explain the procedure to the client if they do not understand, c. Lock the medication in a room and finish preparing it after returning from the emergency (securing them and returning later to finishing preparing and administering them decreases the risk of medication errors), 72. It is quicker to administer medications intravenously in the hospital with this question, the nurse is using which of the following communication techniques? They are more direct when discussing issues 3. A nurse is providing care to a client who is on strict bed rest following surgery. c. Irrigating a client's abdominal wound Assist a client to ambulate using a gait belt. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Removing the client's dentures Incorrect: The nurse is responsible for evaluating a client. d. Arguing, a. I'll apply ankle to my ankle today and tomorrow (the RICE acronym outlines how to treat an ankle sprain: rest, ice, compression, elevation), 16. Incorrect: Medications are not transferred with the client to a new facility. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. b. Ask the charge nurse to evaluate the intervention. No! 2. 2. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. 2. 3. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. d. Discussing intake and output Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? Speak to the UAP first and then decide if a between meal supplement is needed. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. This service focuses on teaching the primary caregiver to meet the client's needs A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. a. a. Tenderness over the symphysis pubis Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Obtain a client's consent 4. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. A charge nurse is making client care assignments. Serve food that have a hot/cold balance There will likely be both physical and emotional injury that needs attention, which places this client third. Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. The client asks the nurse, "Why do I need that? Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list., The charge nurse is preparing the patient care assignments for the day shift, assigning clients to a LPN/LVN and a certified nursing assistant (CNA). A client with an above the knee amputation reporting phantom pain. They are likely to wait for others to initiate conversation a. A charge nurse is making client care assignments. It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility nurse in order to support continuity of care. Select all that apply Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. b. Wash the tablet off with alcohol and place it in a clean medicine cup b. (a) HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010\mathrm{HCN}(a q)+\mathrm{H}_2 \mathrm{O}(l) \longrightarrow \mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{CN}^{-}(a q); K=4.9 \times 10^{-10}HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010 A nurse is caring for a client who frequently attempts to remove his IV catheter. 3. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. 4. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. What task would be best to assign to the LPN/LVN? 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. 3. A client with exacerbation of COPD reporting dyspnea. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Which of the following physiological responses to prolonged immobility should the nurse expect? 2. b. Massage any bony prominences to promote circulation What is the most appropriate action by the charge nurse? This is an appropriate prescription. c. I will inspect my crutches everyday for signs of wear The below statement corresponds to a numbered sentence in the passage.
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