a charge nurse is making client care assignments

The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. When determining if the client is eating a well-balanced diet 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. c. Behaving defensively Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. The RN requests reassigning at least one of the clients to another nurse. However, providing care for missing teeth would also be within the LPN scope of practice. d. Go to employee health services, b. The nurse considers various ideas submitted by team members. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Report the incident to the charge nurse Transfer essential medical record to the receiving facility. b. b. We do not know the extent of her injuries based on what the option tells us. 3. 3. Client with a T-5 spinal cord injury beginning rehabilitation therapy. Aplastic anemia is a rare but serious condition. b. 3. Encourage clients and families to develop mutually appropriate visitation times. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. A cardiac step down unit has requested float staff because of multiple impending admissions. 1. 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. a. Correct: The client has the right to be involved in the decision making of their care. Each ROM movement should be repeated 5 times during the session. Providing a passive response INCORRECT 3) Review a low-sodium diet for a client who has hypertension. 3. A nurse is admitting a client who has a partial hearing loss. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. c. The emphasis is on the client's complete recovery from the illness or injury Teaching insulin self administration cannot be delegated to the LPN. b. Negligence 4. a. c. Confrontation b. Which of the following actions by the nurse is considered an indirect nursing care activity? 4. 2. b. A nurse has just finished a wound irrigation for a client who requires contact precautions. It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. Review the action of insulin therapy Involve the client in their plan of care. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. Following the teaching, the nurse asks the client to describe one physical effect. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. The charge nurse needs additional information to make a decision. 1., 2., 4., & 5. 1. Which of the following responses should the nurse make? Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. The LPN can monitor the wound and provide care to the PEG insertion site. b. Assigning tasks to an AP LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. Which of the following actions should the nurse take? 1. A nurse is caring for a client who is postoperative. 4. Decreased or suppressed respiration are priority. Complete blockage of the large intestine. 1-month-old infant with bronchiolitis with a respiratory rate of 60 6-month-old infant with pneumonia on oxygen 4-year-old child with nephrotic syndrome with 4 protein in the urine 6-year-old child 2-day post-op appendectomy with a surgical drain The client receives home health care and spends most of his day in a reclining chair. Which of the following actions should the nurse take? Point out inconsistences in the client's behavior The client with chronic emphysema has expected shortness of breath. This protein is released by cells in the stomach. Provide an adaptive feeding device for the client, 50. The nurse is using which level of communication at this time? Which of the following interventions should the nurse include? c. Do not eat or drink anything the morning of the test 4., & 5. The client asks about his medications and their effects. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. Which action by an unlicensed nursing assistant would require the nurse to intervene? 3. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. Assist a client to ambulate using a gait belt. It is quicker to administer medications intravenously in the hospital 4. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. A nurse is preparing to move a client who is only partially able to assist up in a bed. Monitor for behavioral changes. 2. 2. a. A nurse in a long-term care facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontinence. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Correct. Turn on local news for up-to-date information on the train derailment. Place in priority order. The women's health charge nurse is making assignments for the next shift. A client on a surgical unit frequently quarrels with the staff. 2. C-section planning discharge, postpartum infection, mastectomy. The nurse chooses to confront the client. Moistening the dentures prior to inserting them 3. This service began with the client's admission to the hospital 4. The third client would be the one needing a dressing change. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. c. Rephrase statements the client does not hear The nurse has received the change-of-shift report. 2. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Vital sign measurement This is a task that can be delegated to the LPN/LVN. 2. a. Speak to the UAP first and then decide if a between meal supplement is needed. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. This client is at a high risk of infection. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. "Please explain what you mean by the word 'nervous'.". If the client is unstable, the nurse would retain the role of measuring the vital signs. A client has been admitted with folic acid deficiency anemia. 3. (Select all that apply.) c. Notifying the provider of physical exam findings Which of the following responses should the nurse make? Teach caregivers memory enhancement aids. It contains a blank and is followed by four answer choices. d. Talk with the client's partner, b. a. Reposition the client every 3 hr Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. 76. A high concentration of carbon monoxide can cause death Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. Have another nurse guard the medication preparations until the nurse returns Female client stating she has been raped. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? 4. b. a. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures I'm drinking plenty of fluids." Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. A charge nurse is making client care assignments. 2. Correct. Comatose client with end stage chronic obstructive pulmonary disease. The client was lying on the floor next to his bed During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. Incorrect: An experienced neurological nurse should be assigned to this client due to the possibility that damage to the hypothalamus which controls body temperature has occurred. b. Wash the tablet off with alcohol and place it in a clean medicine cup They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. The third client that should be assessed by the nurse is the client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. Refuse the delegated intervention. Therefore, this would not be the most appropriate nurse to assign to this client. Use double bagging to remove soiled linen from the client's room Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? 3. 3. This is not a situation that requires the LPN to notify the primary healthcare provider. This is normal for clients with hemorrhoids. Assign a nursing assistant to help the client with self-care activities. 3. 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. 4. d. Move to the opposite side of the pack and open the fourth flap, 54. a. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. 4. Encourage the client to use self-exploration Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? Anyone over age 18 can have an Advanced directive. a. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. The nurse is using which of the following therapeutic communication techniques? 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). Incorrect: Informing is the same thing as teaching. 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. A nurse asks a client how he is feeling. b. Which of the following actions should the nurse take? d. Social conversation, a. Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. The RN will also need to be in communication with the assisted living facility to ensure that they have are a support system for the patient and her follow up care with her pacer. The nurse does not know the skills of the new UAP. Which of the following infection-control precautions should the nurse use caring for this client? 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. Encourage the client to be more cooperative. This action is a defensive intervention, and does not address the quarrelsome behavior. UAPs can assist with elimination and are taught how to measure output. b. c. Hand-off technique Which task would be appropriate for the nurse to assign to an LPN/VN? c. Distended bladder In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. Which preoperative prescription should the nurse question? The cause of the fall may be cardiac, but the question does not indicate this. which client would be an appropriate care assignment for this lpn? 1. Where on the body is each type of skin found? a. c. Provide the client with a diet high in protein An Advance Directive includes a Living Will and a Medical Power of Attorney. c. Document in the client's medical record that she completed an incident report A. Simply accept the assignment since overtime is mandatory. 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). 4. 2. This stage is when testing occurs to identify boundaries of interpersonal behaviors Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. 4. This includes medication enemas. Notify the surgeon that the client wishes to withdraw informed consent for the procedure The situation should be explored before bringing the supervisor in on the situation. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. Ask the RN why the assignment is too heavy. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. 3. 1. 10. Patient safety must remain the priority. Currently, your census is 11, with one empty bed. Notify the nursing supervisor of the situation. b. I'll use the cleansing wipes from the front to back Estimate the number of Calories in two tablespoons of peanut Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. 2. 4. 2. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. b. 1. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. This should not be delegated to the LPN/LVN. 1. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. b. This service focuses on teaching the primary caregiver to meet the client's needs 2. This client can wait until the others are treated. These irregularly shaped cells can get stuck in small blood vessels, which can slow or block blood flow and oxygen to parts of the body. d. Routine acquisition of a urine specimen 4. 1. Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. 2. Teaching insulin self administration to a diabetic client. is a new graduate in orientation. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Nothing will get passed the complete blockage. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. 3. 2. The nurse should do this when repositioning is needed. Assist a client to ambulate using a gait belt. Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. A client receiving heparin injections for deep vein thrombosis. a. I will keep my walker at the end of my bed b. c. Irrigating a client's abdominal wound A client post pacemaker insertion, awaiting discharge instructions.

Seirei Gensouki: Spirit Chronicles Another Tale Gift Code, Southern Oaks Plantation Slavery, St Charles High School Famous Alumni, Articles A