3. The third client would be the one needing a dressing change. Solved 77. The nurse in a long-term care facility is making - Chegg c. Changing a dressing c. Distended bladder A nurse is teaching a client who has a history of falls about home safety. A nurse is assessing a client at a follow-up clinic for acute low back pain. 3. b. A nurse is caring for a client who has limited hand movement. a. 1. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. This client is not the nurse's first priority. c. Rephrase statements the client does not hear a. c. We administer all medications intravenously to clients in this unit This client needs ongoing monitoring which is within the scope of practice for the LPN. So, the UAP can assist a client to brush and floss teeth. Which clients would be appropriate assignments for the LPN/LVN? Because the charge nurse observes and weighs . A school-aged child with a fractured femur who is in balanced suspension traction. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. A Medical Power of Attorney is a type of Advance Directive that appoints a health care agent to make decisions on the client's behalf when the client is unable to do so. d. Message, 67. Which of the following statements should the nurse make? This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. Which client would be appropriate for the RN to assign to the LPN? A client with diabetes admitted for debridement of a foot ulcer. Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER 2. d. What have you done in the past to cope with this issue? A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. Select all that apply. Select all that apply Incorrect: This prescription is written correctly. 2. a. I'll provide more stimulation in his environment The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. 1. Document what the nurse believes was the cause of the ulcer development Removing the abdominal dressing Which of the following statements should the nurse identify as an indication that the client understands the instructions? Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. The nurse is responsible for the assessment of all vital signs of post-op clients. Incorrect: This client does not have a predictable outcome. Which of the following info should the nurse include? Administering IV pain medication to a two day post op client. 2. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. Client prescribed antibiotics for cystitis. a charge nurse is making client care assignments for the day. Which of the following pieces of PPE should the nurse remove first? c. Malpractice Besides yourself, there are the following staff: Your unit has 12 beds. Which of the following responses should the nurse make? Review a low-sodium diet for a client with hypertension. A high concentration of carbon monoxide can cause death d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago Dr. Frankenstein had seen himself as a(n) ?\underline{? This is a task that can be delegated to the LPN/LVN. d. Proceed with the preparation of the patient's surgical procedure, 15. Drag and Drop the items from one box to the other. Select all that apply Based on these findings, to which of the following providers should the nurse request a referral for the client? There is a trailing zero after the prescribed dose. 2. A nurse who is 10 weeks pregnant. No! Which of the following types of torts has the nurse committed? A nurse is admitting a client who has a partial hearing loss. c. I should purchase a carbon monoxide detector for my home 4. A charge nurse is making assignments for an oncoming shift. To confirm the placement of the NG tube A client requesting assistance packing his belongings for discharge later today.. An adolescent client post appendectomy reporting pain. There are a total of 10 adult clients. 1. d. Breathing in carbon monoxide can cause headaches and nausea, c. Take the client to the bathroom every 2 hr (this establishes a regular pattern of toileting and the client learns to trust that the staff will place value on his bladder-training needs), 59. 5. 5. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Rewrite each incorrect sentence to correct the error. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? 4. 2. 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. 1) Bathe a client who had an amputation 2 days ago. Relax her abdominal muscles when she lifts an object 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. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? c. Why are you crying? The last client would be the one needing dietary education. 5. A client receiving heparin injections for deep vein thrombosis. It is not a routine task. One nurse lifting as the client pushes with his feet Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. Which of the following actions indicates that the AP understands the principles of infection control? 1. Where on the body is each type of skin found? Which of the following responses should the nurse provide? The nurse should use close-ended questions when assessing which of the following factors? The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day 4. 4. Which of the following tasks should the nurse delegate to assistive personnel (AP)? Making Client Care Assignment NUR 211: Module 4 Assignment Rationale: The patient is stable, she will need to teaching on self-care after a pacer insertion. The nurse should not lecture, scold or argue with the float nurse. c. The nurse may serve as a witness to informed consent for organ donation b. Return any fresh linen not used for a client to the linen supply area 3. c. Holds the soiled linen against her body while carrying it to the linen bag Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. Discuss the assignment with another LPN. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. 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. The surgeon initially prescribes a clear liquid diet. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. d. I shouldn't advice you about what is ultimately a personal decision, b. a. 6. The charge nurse on each unit needs to prepare a list of possible discharges or transfers to be given to the appropriate primary healthcare providers for further action. When staff do not feel vested in any new process, there is a sense of underappreciation. c. Take the client to the bathroom every 2 hr e. Throw rugs, 40. Incorrect: This response overlooks a potentially severe problem. 1., 2., 4., & 5. 1., 2., 4., & 5. Temporary urinary retention (common for clients to develop after removal), 90. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. b. 2. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. Which of the following of Erikson's developmental stages should the nurse consider in the planning? Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. A client with atrial fibrillation currently on a diltiazem drip. Ask the client to perform a return demonstration of insulin injection Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. }? benefactor of the world. Monitor client for pain while assisting with ambulation. Everyone knows there are others who can chair this committee better than me a. Two nurses lifting the client under the shoulders Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Changing a colostomy bag. The area surrounding the insertion site feels warm to the touch 1. This would be an acceptable task to assign to the UAP. A client receives a wrong medication. d. Explain oral hygiene to a client receiving chemo Measuring vital signs What is the appropriate assignment? The cleint's family asks the nurse for info about this type of care. b. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. 3. The reason for the UAP not feeding the client needs to be determined. Irrigate a client's ear canal. 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. The first vital sign check was performed by the nurse. (Select all that apply.) d. Anger, b. a. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. c. I'll bear weight on my ankle for 10 minutes every hour A client with exacerbation of COPD reporting dyspnea. a. Which of the following statements should the nurse make? The client attempted to climb over the side rails and fell Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Select all that apply C-section planning discharge, postpartum infection, mastectomy. Which of the following findings associated with urinary retention should the nurse expect? b. Irrigate the NG tube with 100 mL of sterile water 1 5. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com Relief of urinary retention d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. The nurse is focusing on which of the following elements of the communication process? Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? c. Distended bladder 2. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. Correct: Communication is important in delegation, as is follow-up. Select all that apply. c. Request a tray without pork Place the pack on a sterile work surface 1. Besides, a charge nurse is a leader on the floor and should possess . To remove gastric acid that might cause dyspepsia A medical-surgical LPN has been sent to a short-staffed pediatric unit. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). There may be a good reason that the tray was not served. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. 4. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". d. Highly concentrated urine, 91. b. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Incorrect: The nurse cannot assign teaching to the UAP. The nurse should perform which of the following activities in this space? 1. Protective After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? 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. 1., 2., 3., & 4. Notify the primary healthcare provider of transfer completion. A client requesting assistance packing his belongings for discharge later today., Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu a. Document current functional status assessment Which of the following statements should the nurse identify as an indication that the client needs further teaching? Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. 2. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. a. Broth Correct: The medical nurse can be assigned to this client. The facility has insurance that will cover malpractice litigation LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. d. Voided 30 mL frequently, 48. - Assisting a client to ambulate using a gait belt. 5. a. 1. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Draining the colostomy bag on a client with diarrhea. 4. This individual should be provided appropriate comments of appreciation for this accomplishment. Schedule visiting times in two-hour increments so clients are not overwhelmed. Place in priority order. a. Clarification Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Which nursing intervention should the charge nurse implement? Select all that apply. 1. d. Establishing the client's secondary medical diagnoses, b. Electric cords behind the furnitrure Making client care assignments As the RN charge | Chegg.com Each ROM movement should be repeated 5 times during the session. The client with chronic emphysema has expected shortness of breath. 1. Transfer essential medical record to the receiving facility. So, now you must decide which of these high priority clients should be seen in what order. Administering 3 g/hr IV of morphine would be extremely dangerous. 2. 4. The client then states, "I have changed my mind and do not want to have the procedure done." e. Feed a client who had a stroke 3 months ago, 32. The third client that should be sent back for treatment is the female client stating she has been raped. Tenderness over the symphysis pubis Could you try contacting a support group 3. Narrative interaction (involves asking a client to share personal stories so the nurse can better understand the context of a client's life in the working phase of a nurse-client relationship), 47. The charge nurse on the postpartum unit is making assignments. This is likely cholelithiasis, which will need to be checked out. 4. b. . However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. & 4. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Incorrect: Moistening the dentures will ease insertion. The nurse received a client following surgery 8 hours ago. d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. 3. b. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. 4. Assist the float nurse with the clients case. 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. After making initial assessment rounds on assigned clients in the morning, the RN tells the charge nurse that the clients are too difficult. Which of the following methods should the nurse plan to use? The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Ask the RN why the assignment is too heavy. Ask for any staff objections to rearranging work hours. The nurse is using which level of communication at this time? 3. Provides safe, effective delivery of patient care in . This invasive procedure results in some edema to the vessel used for the procedure but assessing only one pedal pulse does not provide sufficient data to verify a complication. A nurse is caring for a client who has a hip fracture that requires surgical repair. What should the nurse do first? Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. a. The best practice committee utilizes current research in their recommendations. Correct: Traction should never be relieved without a primary healthcare provider's prescription. This client should report an improved respiratory, not shortness of breath. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Incorrect: No, the monitoring is too specific for the med-surg nurse. Gathering needed equipment and supplies is within the scope of duties for the UAP. *HURST REVIEW Qbank/Customize Quiz - Leadership Which of the following findings indicates that the client is meeting this goal? Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? a. 1., 3, & 4. Involve the client in their plan of care. Did you think dehydration and fluid volume deficit? 4. a. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Nurses Report Sheet Template Nicu. b. Report of feeling pressure Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. a. 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. Explore the client's feelings A skill for which the ap has received instruction the - Course Hero Four clients arrive for their appointment at a diabetic clinic. Which of the following actions should the nurse take prior to administering the tube feeding?
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