a charge nurse is making client care assignments
2. A client with an above the knee amputation reporting phantom pain. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data. b. 5. which of the following actions should the nurse perform? Turning off continuous tube feeding to reposition a client, then turning the feeding back on. Assist a client to ambulate using a gait belt. c. Malpractice Incorrect: Teaching is outside the scope of practice for the LPN/LVN. (Select all that apply) The third client that should be sent back for treatment is the female client stating she has been raped. The nurse should use close-ended questions when assessing which of the following factors? a. Gloves b. Which of the following explanations should the nurse provide? Which client would be appropriate for the RN to assign to the LPN? c. Do not eat or drink anything the morning of the test Which of the following RNs should not be assigned to this baby? Monitor for behavioral changes. 1. Complete blockage of the large intestine. 1. 1. Cardiac catheterization with a decreased pedal pulse below insertion site. Receive report from the emergency department (ED) on a new client. What was the rationale for this plan? 2. Teaching insulin self administration cannot be delegated to the LPN. b. It would not be appropriate to overload this new employee with extra work. c. Changing a dressing, 78. b. Question: A charge nurse is making client care assignments. Client scheduled for breast reconstruction after mastectomy. A client with epilepsy reporting an odd smell in the room. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. 3. Which of the following actions should the nurse take? d. Do you think crying will help? 2. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 4. TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . The nurse who made the medication error should take which of the following actions first? d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. 2. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. a. I'll sit with my knees lower than my hips Measuring vital signs d. Routine acquisition of a urine specimen This would be an acceptable task to assign to the UAP. a. A nurse is caring for a client who has a hip fracture that requires surgical repair. 1. An experienced nurse would be assigned to this unstable client due to the possibility of a reoccurring hemorrhagic stroke resulting from the client's hypertension. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Warm the feeding solution to the body temperature A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Incorrect: The charge nurse does not have to assess every client. 2. This includes medication enemas. a. The nurse is reviewing some clients' prescriptions. Temporary urinary retention (common for clients to develop after removal), 90. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Correct. 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. 3. Check environment for potential safety hazards. b. Anyone over age 18 can have an Advanced directive. Which of the following types of communication breakdown does this response represent? Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. 1. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. b. Client with chronic emphysema experiencing mild shortness of breath. c. Offer the client personal thoughts and beliefs In which harmonic number n is the string vibrating? 4. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department The unit is short one staff member and will receive a nurse from the medical surgical unit. 3. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. 4. 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. Correct: Talking to the nurses about client concerns and completing the client assignment sheet for oncoming staff will provide for a thorough shift change report. d. Put the side rails up and tell the client to call the nurse before voiding, d. Two nurses using a friction-reducing device (reduces the risk of injury to the nurses and to the client; nurses can use a draw sheet as a friction-reducing device), 38. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. Documentation of what occurred, and the client's assessment is required in the nurse's notes. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. c. Offering false reassurance c. 214 1. 4. b. 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. c. Notify the nurse manager Injuries from a motor-vehicle accident can be life threatening. b. Irrigate the NG tube with 100 mL of sterile water A nurse is administering a cold therapy application to a client. d. Respite care is a continuation of psychological support after a family member dies. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage 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. Refuse the overtime assignment, being prepared for disciplinary action. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Incorrect: A client diagnosed with Guillain-Barre' is mentally competent and being on a ventilator does not indicate that the client has lost decision-making capacity. d. Voided 30 mL frequently, 48. Which of the following of Erikson's developmental stages should the nurse consider in the planning? b. Female client stating she has been raped. The RN requests reassigning at least one of the clients to another nurse. a. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. 4. 3. 3. 2. C. Review a low-sodium diet for a client who has hypertension. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. 3. The nurse should not lecture, scold or argue with the float nurse. Select all that apply. Incorrect: Moistening the dentures will ease insertion. Electric cords behind the furnitrure 4. Place the pack on a sterile work surface Following a large hurricane, multiple clients arrive at the emergency room for treatment. Providing hygiene care to a client who is HIV positive Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? a. Changing a colostomy bag. 1. 5. They are able to manage tasks related to basic care. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. d. Water heater temp 54.4 C (130 F) Dentures should be stored in a denture cup. What interventions can the nurse delegate to the LPN/VN? Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. Simply accept the assignment since overtime is mandatory. b. Increased insulin production Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? 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 4. The charge nurse should notify the nursing supervisor who will seek additional staff. 1. c. I will begin upon the client's admission to the facility Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. d. I will place a bath seat in my shower to use when I bathe, b. The RN with 10 years' experience pulled from the ER. Based on this information,what should the nurse do? c. Helping the client into the shower Feed the client after warming the food. b. b. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. 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. All these clients have a GI problem. Include any relevant statements the client made about the ulcer The nurse should not assume that the UAP just did not do their job, but needs to ascertain the reason for not feeding the client. Which of the following findings should the nurse identify as a safety risk? b. Client to receive dietary education. b. Numbness c. Industry vs inferiority Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? Clients over the age of 65 must have a saline lock according to facility policy 2. 4. Select all that apply 1. A charge nurse is making client care assignments. 3. d. Discussing intake and output Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. 4. Right forearm d. Sleep apnea 1. a. Besides yourself, there are the following staff: Your unit has 12 beds. Something new could have occurred with the clients, making the assignments too heavy. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. Oral surgeon 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? This client would not be a priority to be seen before assessing the client with the cast that is too tight who may be developing compartment syndrome. Everything will be okay Review the action of insulin therapy Which of the following actions should the nurse take? b. Wash the area of the puncture thoroughly with soap and water A nurse is caring for an older adult client who has a fractured hip and will require rehab care. 4. 4. a. I will begin 48 hr before the client's discharge c. Take the client to the bathroom every 2 hr 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. Aplastic Anemia Support Group. Ambulating a client who is 2 days post vaginal hysterectomy 3. 4. Which of the following responses should the nurse provide? Document current functional status assessment This client can wait until the others are treated. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. The cause of the fall may be cardiac, but the question does not indicate this. 3. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. There are a total of 10 adult clients. The charge nurse is developing patient care assignments for the evening shift and needs to assign clients to a licensed practical nurse/licensed vocational nurse (LPN/LVN) and a certified nursing assistant (CNA). The client with chronic emphysema has expected shortness of breath. Of my three brothers and sisters, my sister Giselle has the best sense of humor. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37. A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. 2. b. Discuss the assignment with another LPN. Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. 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. b. Massage any bony prominences to promote circulation b. Which of the following actions should the nurse take to assist the client with feeding? A nurse is caring for an older client who is at risk for skin breakdown. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. d. When asking if the client took his medications this morning, 82. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. b. I'll do exercises that strengthen my abdominal muscles Select all that apply c. Document in the client's medical record that she completed an incident report 5. d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. d. Explain oral hygiene to a client receiving chemo c. Environment The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). A charge nurse is making client care assignments. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. Involve the client in their plan of care. 3. Which of the following actions should the nurse take first? 2. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. Reach around the pack and open the top flap away from the body, 53. a. 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. Relief of urinary retention Focusing b. Summarization A home health nurse is conducting a home safety assessment for an older adult client. The charge nurse must triage and assign clients to appropriate staff. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. This schedule may leave some clients too exhausted to visit with family. 2. b. a. I will keep my walker at the end of my bed Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. 5. 2. Narrative interaction c. Request a tray without pork b. Which of the following physiological responses to prolonged immobility should the nurse expect? Sit side-by-side with the client 4. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. Teaching about a medication 4. Incorrect: The RN is responsible for teaching. Which of the following instructions should the nurse include? 2. Which of the following instructions should the nurse give to the client prior to the procedure? 3. Normally, red blood cells are flexible and round, moving easily through blood vessels. To which of the following rooms should the nurse assign the client? Removing the abdominal dressing Administer sodium polystyrene sulfonate enema. The LPN should refuse the intervention. Discussing a client's surgical procedure with the nurse manager The provider must renew a restraint prescription every 8 hr. 2. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. "The client is weak on the right side, so please assist the client with dressing . Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. Which of the following actions should the nurse take? Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. b. I will try to anticipate and avoid stressful situations when possible c. Why are you crying? c. Providing anticipatory guidance to a client in crisis Nothing life threatening, but an assessment needs to be made regarding the ulcer. Which region of the tRNA pairs with mRNA? 2. Because positioning on a bedpan requires rolling of the client, an RN should be assigned to assess the insertion site and monitor for the presence of bleeding. Select all that apply There is a trailing zero after the prescribed dose. Which preoperative prescription should the nurse question? Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Select all that apply Collecting I & O totals for unit clients at the end of shift. 4. d. I decline this opportunity at this time, b. 1. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Client with ureterolithiasis who requires frequent PRN pain medication. Reach around the pack and open the top flap away from the body A charge nurse is making client care assignments. 1. b. b. 6. Did you recognize ureterolithiasis as "kidney stones"? A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following statements should the nurse identify as an indication that the client needs further teaching? A nurse is caring for a client who has a mental health disorder. Which clients should be assigned to the CNA? The client is getting better. The first vital sign check was performed by the nurse. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Only a plain enema or soap enema can be given by the UAP. 1. b. 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.
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