is a new graduate in orientation. 1. This client is at a high risk of infection. Client prescribed antibiotics for cystitis. 3. the nurse responds, "don't worry, no one will harm your family." 1. Client eating a simple-carb snack due to weakness. 3. Allow the UAP to work without supervision. The charge nurse is planning assignments on a medical unit Which client b. d. Water heater temp 54.4 C (130 F) b. Wash the tablet off with alcohol and place it in a clean medicine cup Incorrect: While it is true that the nurse manager is ultimately responsible for implementing and announcing new schedule changes, doing so without any staff input can create discontent in the work environment. 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." Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. a. Gloves Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. A nurse is caring for a client who expresses anxiety about his impending surgery. Assist the float nurse with the clients case. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. 4. The nurse does not know the skills of the new UAP. 4. Which of the following findings indicates that the client is meeting this goal? Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Incorrect: If a report is made to the BON, it should be a factual documentation of specific events and actions, not a statement of impairment. b. eminent A nurse is teaching a client about carbon monoxide poisoning. Which of the following actions should the nurse take first? Providing hygiene care to a client who is HIV positive Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. 1. b. Wash the area of the puncture thoroughly with soap and water c. I'll need to shave the hair off the skin where I place the electrodes d. Expect minor discomfort after the procedure, b. I will come back later and we can talk (offers herself to client which encourages open communication). Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. which client would be an appropriate care assignment for this lpn? To remove gastric acid that might cause dyspepsia 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. What is the most appropriate action by the charge nurse? The client is reporting anxiety, discomfort, and a feeling of bloating. 1. The nurse considers various ideas submitted by team members. Incorrect: This client does not have a predictable outcome. 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. c. Raised toilet seats A nurse is providing discharge teaching for a client who requires home oxygen therapy. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. 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. Removing the abdominal dressing A nurse is discussing indications for urinary catheterization with a newly licensed nurse. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). a. Hypotension 2. A nurse caring for a client is using active listening skills. c. Behaving defensively Client to receive dietary education. 3. Incorrect: Medications are not transferred with the client to a new facility. A nurse is assessing a client at a follow-up clinic for acute low back pain. b. A nurse is assessing a client who has narcolepsy. Provide a between meal supplement to the client. Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. Encourage the client to use self-exploration A school-aged child with a fractured femur who is in balanced suspension traction. b. c. The restraints should promote the client's safety and prevent injuries Charge Nurse II- CNII - jobs.freseniusmedicalcare.com Elderly clients have special fluid and electrolyte issues after a fall. 4. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? 1. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. Checking capillary refill beneath the client's fingernail 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. 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. c. Decreased sodium excretion On an ongoing basis, the charge nurse evaluates individual and collective outcomes of the patient care provided during their shift, compares patient care delivery to accepted standards, adjusts assignment of resources as necessary, and reports changing needs and outcomes to the health care staff. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. 9. Request a prescription for a medication to ease the client's anxiety 2. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. 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. 3. Limit the client's fluid intake in the evening a. a. Discuss the assignment with another LPN. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? Denial A client with fibromyalgia reporting generalized pain of 7 out of 10. Bargaining 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). This action is a defensive intervention, and does not address the quarrelsome behavior. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. The nurse would then start the 24 hour urine once the 1st void has been discarded. b. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. The nurse is caring for four clients. Receive report from the emergency department (ED) on a new client. A nurse is engaging in relationship counseling with a male client. The client was lying on the floor next to his bed (nurse should document what they actually see), 68. Notify the primary healthcare provider of transfer completion. The charge nurse delegates a licensed practical nurse (LPN) to perform an intervention that is not within the scope of practice for the LPN. Which of the following findings associated with urinary retention should the nurse expect? c. Visual observation for nonverbal signs of pain 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. This schedule may leave some clients too exhausted to visit with family. Following a large hurricane, multiple clients arrive at the emergency room for treatment. 3. Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. Yes! The spouse can rescind the Advance Directive if the client becomes unresponsive. Correct: This group of clients is primarily med surgical. The last client would be the one needing dietary education. 2. a. Discussing a client's surgical procedure with the nurse manager The charge nurse should notify the nursing supervisor who will seek additional staff. 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. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. This task cannot be delegated to the LPN/LVN. 1., 2., 3., & 4. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. 1. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. A client with epilepsy reporting an odd smell in the room. 2. Teaching insulin self administration to a diabetic client. _____The house that we lived in for nine years has been sold. Assist ait to ambulate using a gait belt. 1., 2., 3., & 4. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. b. 4. This would be out of the UAP's scope of practice. Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. b. Numbness Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. A client requesting assistance packing his belongings for discharge later today.. Correct: Hot water may damage dentures so intervention is needed. This client can wait until the others are treated. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. 3. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. 1. Provide an adaptive feeding device for the client, 50. a. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. Try different methods of oral care on unresponsive clients to see what works best. This is an elderly client who is a new admit. A nurse asks a client how he is feeling. (Select all that apply.) 1. Taking the report from the ED could be delayed but is a courtesy to the ED and will provide information about the client that will be useful in making assignments for the next shift. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. No! It's just not the right time for me to do this 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. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? Announce the new changes at the monthly staff meeting. The nursing supervisor may be able to assist with client care until another nurse can come in to work. Which actions should be instituted by each unit's charge nurse? 2. d. Message, 67. Which action by an unlicensed nursing assistant would require the nurse to intervene? One nurse lifting as the client pushes with his feet 3. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. Which of the following is the priority action by the nurse? b. Donation costs are the responsibility of the donor's family and estate Notify the nursing supervisor of the situation. a. d. Places clean linen that touched the floor in the soiled linen bag, d. Decreased calcium excretion (prolonged immobility leads to the breakdown of bone tissue; result is decreased calcium excretion), 26. The nurse caring for the client at the time of death requests organ donation Phone report to the receiving nurse. Encourage the client to be more cooperative. 5. Dentures should be stored in a denture cup. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. C. Review a low-sodium diet for a client who has hypertension. 5. A charge nurse is making client care assignments. A nurse is caring for an older client who is at risk for skin breakdown. An LPN/VN has been floated to the emergency room following a chemical plant explosion. 3. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. Narrative interaction b. Negligence d. Place the tablet directly into a medication cup, 36. 1. A nurse is admitting a client from a long-term care facility. 1. When determining if the client is eating a well-balanced diet Notify the primary healthcare provider. What options would be appropriate for the nurse to take? American Sickle Cell Anemia Association 6. Which of the following actions should the nurse include in the plan? 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). Patient safety must remain the priority. Incorrect: The nurse cannot assign teaching to the UAP. Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. a. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. Which of the following tasks should the nurse delegate to assistive personnel (AP)? d. 216, 22. Sudden attacks of sleep b. 1. A charge nurse is planning client activities for the day. 2. Hold the penis at a 30 to 45 degree angle when inserting the catheter 1., 2., 3., & 4. Which of the following tasks should the charge nurse reassign to a licensed nurse? 2. This documentation should go to your manager. 4. Richied5864 Richied5864 . Solved A charge nurse is making client care assignments. | Chegg.com Which clients could be assigned to an LPN? 4. Wears a gown when entering the room of a client who requires contact precautions Show client who has conjunctivitis how to clean the eyes. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. A charge nurse is making client care assignments. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. Incorrect: The client does need to be cleaned out below the tumor so that the primary care provider can see the area of concern and complete the biopsy. c. Consensus evolves in this stage Incorrect: It is out of the UAP's scope of practice to administer medication. For which of the following actions should the nurse intervene? Only a plain enema or soap enema can be given by the UAP. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. Which client should the nurse assess first? A charge nurse is making client care assignments. The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. c. Tie linen bags securely at the top 1. The primary healthcare provider may have suggestions but this is not the best first action. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? What is the best first action for the nurse to take in order to achieve this goal? c. Depression Assign a nursing assistant to help the client with self-care activities. A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. The client reports constipation for 4 days which may be an indication of worse problems. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. There may be a good reason that the tray was not served. (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. Client diagnosed with inoperative brain tumor who is confused. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. 4. d. Bend at the knees when picking up an object, 99. Something new could have occurred with the clients, making the assignments too heavy. Which region of the tRNA pairs with mRNA? a. 4. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response?
Music Magpie Extra 20 Selling, Bakersfield Daily Crime Reports, Fort Totten, Ny Army Reserve, Deep Breathing Benefits Mayo Clinic, Articles A