a charge nurse is making client care assignments

Pick up the tray and tell the UAP that they didn't do a good job. a. 3. 4. Which of the following actions should the nurse take? 4. c. Hallucinations at the onset of sleep, 65. Showing disapproval INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. a. Which of the following responses should the nurse make? Client reporting a headache and has a fruity breath. This is outside the scope of practice for the LPN/LVN. Something new could have occurred with the clients, making the assignments too heavy. Encourage client to express grief related to loss of independence. 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. Prospectors are considering searching for gold on a plot of land that contains 1.31g1.31 \mathrm{~g}1.31g of gold per bucket of soil. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Correct: This group of clients is primarily med surgical. 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.) Elderly client who fell and fractured the left femoral neck. c. Rephrase statements the client does not hear which client would be an appropriate care assignment for this lpn? 4. a. a. 3. 4. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? A nurse is assessing a client who is experiencing prostatic hypertrophy. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. A nurse receives a client care assignment from the charge nurse that he believes is unfair. Incorrect: The RN is responsible for collecting data. Select all that apply 1. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. A nurse is caring for a client who is postoperative. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). Providing hygiene care to a client who is HIV positive Currently, your census is 11, with one empty bed. & 5. The client is apparently stable and does not require any advanced assessment skills or specialized care. Therefore, this would not be the most appropriate nurse to assign to this client. 3. Occupational therapist Which client can be assigned to the LPN? Teaching insulin self administration to a diabetic client. This stage is when testing occurs to identify boundaries of interpersonal behaviors a. This determination is needed to assure client safety is being considered. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. Correct: The client may be experiencing a myocardial infarction and requires further assessment. An adult (18 years or older) can create an advanced directive. The nurse should do this when repositioning is needed. Remind the client to avoid tight fitting clothes. Report the incident to the charge nurse d. Remove and reinsert the NG tube, a. Initiate oxygen and IV lines as needed. d. Place the tablet directly into a medication cup, 36. The supervisor can only send one LPN/LVN to the floor. Patient safety must remain the priority. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. d. The nurse has already considered alternatives to restraints, a. Which actions should be instituted by each unit's charge nurse? Incorrect: The RN is responsible for teaching. Select all that apply 1. b. 4. 3. c. Request a tray without pork 2. If you give the magnesium citrate, which is a laxative, what will happen? Which of the following statements should the nurse identify as an indication that the client understands the discharge information? Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. b. a. 4. A client has been admitted with folic acid deficiency anemia. A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? Only a plain enema or soap enema can be given by the UAP. c. I will inspect my crutches everyday for signs of wear Twist at the waist when she moves an object to one side 1. d. Custard A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. Which action should the nurse interrupt the UAP from performing? The client with chronic emphysema has expected shortness of breath. c. I'll bear weight on my ankle for 10 minutes every hour Autonomy vs shame and doubt b. 2. Involve the client in their plan of care. Notify the surgeon that the client wishes to withdraw informed consent for the procedure Of my three brothers and sisters, my sister Giselle has the best sense of humor. 2. c. Discard the tablet and obtain another dose of medication The body needs vitamin B12 to make red blood cells. It also helps the client deal with issues that are important to him), 19. Empty the drainage bag at least every 8 hrb.) 2. b. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. 3. Report from the night shift nurse for one client included the recent development of the following findings: BP 150/100, proteinuria, severe headache, blurred vision, and abdominal pain. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Check environment for potential safety hazards. Encourage the client to be more cooperative. Administering IV pain medication to a two day post op client. Evaluate client's safety risk factors. For which of the following tasks should the nurse wear protective eye equipment. A nurse is caring for a client within the intimate zone of the client's personal space. Symbolic communication b. a. a. The RN with 5 years' experience in the Labor and Delivery unit. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to withdraw consent therefore the surgeon should be the one notified of the request), 14. Two nurses lifting the client under the shoulders a. I will wear gloves when removing food from the freezer a. d. Complete an incident report, 70. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. Which of the following infection-control precautions should the nurse use caring for this client? Decreased or suppressed respiration are priority. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. He charge nurse is making client care assignments for the evening shift. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. This task cannot be delegated to the LPN/LVN. 4. 1. M2.4 Making Client Care Assignments - GECC As the RN charge nurse, you are preparing to make assignments for the oncoming shift on the medical-surgical unit. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. What is the appropriate assignment? 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. Nothing will get passed the complete blockage. The women's health charge nurse is making assignments for the next shift. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. a. Bathtub with rails What information should the nurse include? The client states, "I am so nervous about what the doctor might find during the test." d. Voided 30 mL frequently, 48. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? Serve food that have a hot/cold balance 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. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? 1. 4. There is a trailing zero after the prescribed dose. 2. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. Which of the following actions is an example of a violation of confidentiality? Estimate the number of Calories in two tablespoons of peanut 2. a. Dentures should be stored in a denture cup. 4. 1. d. Social conversation, a. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. A nurse instructs a female client about collecting a midstream urine sample. Which of the following actions should the nurse take first? Which clients could be assigned to an LPN? Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. Select all that apply. b. Assess the client Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. 8. This client will also need a lot of education regarding anti-rejection medications. 2. a. a.) c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures a. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. The client receives home health care and spends most of his day in a reclining chair. The abdominal pain is worsening. Plan all care to be completed in early morning to allow afternoon for visitation. Handoff and Nursing Report Sheet. Drag and Drop the items from one box to the other. A nurse is caring for a client who frequently attempts to remove his IV catheter. Complete blockage of the large intestine. a. 2. Incorrect: This would unnecessarily alarm the clients. c. 214 Which of the following of Erikson's developmental stages should the nurse consider in the planning? A nurse is caring for a client who has a wound infection. c. Review the client's progress toward personal objectives Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding). Describe the types of machining operations that can be performed on a lathe. Although this will require assessment, this client is not the priority at this time. 2. 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? Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Alert all off-duty personnel to stand by in case of call- in. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. The nurse voices his concern to the charge nurse. c. We administer all medications intravenously to clients in this unit b. I can detect the presence of carbon monoxide by a metallic odor Assist a client to ambulate using a gait belt When asking the client about his receptiveness to the transfer Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. A nurse is caring for a client who is postoperative following an appendectomy. Which of the following actions should the nurse include in the plan? 4. 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). Donning gloves and using a gauze pad to grasp and remove dentures 4. Convenience for the nursing staff or the client's family Try different methods of oral care on unresponsive clients to see what works best. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. Tenderness over the symphysis pubis This could be devastating to the client if the decimal point is missed and the client receives 200 mg instead of the intended 20 mg of lisinopril. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Have a pen and paper handy 4., & 5. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. A nurse is teaching a client who has a history of falls about home safety. a. Nothing life threatening, but an assessment needs to be made regarding the ulcer. There are a total of 10 adult clients. 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. b. Photo comes from the Greek word for light. Which of the following RNs should not be assigned to this baby? Client to receive dietary education. Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. c. Offer the client personal thoughts and beliefs A nurse is engaging in relationship counseling with a male client. 1., 2., 4., & 5. The area surrounding the insertion site feels warm to the touch Incorrect: This is not completely practical for everyone. Hearing loss d. Message, 67. Remind the client that a signed informed consent form is a legally binding document b. d. Routine acquisition of a urine specimen A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. A nurse is caring for a client in the orientation phase of the nurse-client relationship. (Select all that apply.) Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. A nurse is admitting a client from a long-term care facility. What was the hint? Place the client in a lateral position A home health nurse is conducting a home safety assessment for an older adult client. The client states, "I'm feeling a bit nervous today." Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. 1. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. The nurse caring for the client at the time of death requests organ donation Which of the following tasks should the nurse delegate to assistive personnel (AP)? Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. In what order should the nurse assess assigned clients following shift report? Underline the adjective clause in each sentence. The best practice committee utilizes current research in their recommendations. a. 2. It's just not the right time for me to do this The nurse should perform which of the following activities in this space? 2. This client is stable and predictable. d. Voided 30 mL frequently d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. A person can be designated to make medical decision in the event the client cannot. A school-aged child with a fractured femur who is in balanced suspension traction. 4. This situation is considered an external disaster which means the hospital will be expecting multiple victims. This schedule may leave some clients too exhausted to visit with family. 1. The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? d. Decreased calcium excretion, c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown), 27. Elevating the head of the bed 30- 40 for the client post thoracotomy _________________ (magnanimous), a. generous A nurse is performing care activities for a client in the zone of touch that requires his consent. 4. with this question, the nurse is using which of the following communication techniques?

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a charge nurse is making client care assignments

a charge nurse is making client care assignments