a charge nurse is making client care assignments

b. Urinary frequency for several days b. 3. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. Gathering needed equipment and supplies is within the scope of duties for the UAP. 3. A nurse is teaching a client who has a history of falls about home safety. 2. Obtain a urine specimen from a client with an indwelling Foley catheter. Which client can be assigned to the LPN? A nurse instructs a female client about collecting a midstream urine sample. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Have another nurse finish preparing the medications In option #4, we see that the leading zero is missing from the prescription. b. Assigning tasks to an AP c. Review a low-sodium diet for the client who has hypertension c. The client was restless and trying to get out of the bed all evening Notify the surgeon that the client wishes to withdraw informed consent for the procedure Serve food that have a hot/cold balance b. Observe the client before taking further actions 1. 1. 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. Incorrect: The scope of practice for the UAP encompasses basic personal care needs, ambulating, and taking vitals; however, the nurse must still verify that all tasks are accomplished in a safe manner. Handoff and Nursing Report Sheet. A nurse is caring for a client who has a mental health disorder. a. What should the nurse do first? To remove gastric acid that might cause dyspepsia Review a low-sodium diet for a client with hypertension. a. The nurse prefers to check all vital signs on all clients. The client attempted to climb over the side rails and fell 4. 3. The charge nurse delegates a licensed practical nurse (LPN) to perform an intervention that is not within the scope of practice for the LPN. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. What proposal would the nurse determine to best meet the needs of families and clients in long term care? a. Clarification a. d. Droplet, d. Bend at the knees when picking up an object, 98. Which of the following statements should the nurse identify as an indication that the client needs further teaching? a. Correct: An LPN should be assigned clients with predictable outcomes. a. Incorrect: This client is exhibiting early signs of increased intracranial pressure. e. an open perineal wound, 92. the nurse responds, "don't worry, no one will harm your family." Perform range of motion (ROM) exercises at least 2-3 times daily Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. a. I will wear gloves when removing food from the freezer Explore the client's feelings Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Provides safe, effective delivery of patient care in . A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. A client has been admitted with folic acid deficiency anemia. Select all that apply A. a. Skill level and scope of practice of each staff member, Exit HESI (Actual hesi hints), EXIT HESI 2, Julie S Snyder, Linda Lilley, Shelly Collins. d. Voided 30 mL frequently, 48. 4. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. c. Irrigating a client's abdominal wound The client says, "go away, no one can help me." 3. c. Decreased sodium excretion The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. 4. 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. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. Explain administration is demanding a decreased overtime. Which of the following actions is the priority for the nurse to include in the client's plan of care? b. Which of the following actions should the nurse perform when opening the sterile pack? Select all that apply. 1. b. 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. 2. Twist at the waist when she moves an object to one side Which tasks should the charge nurse complete at the end of the shift before leaving for the day? a. Besides yourself, there are the following staff: Your unit has 12 beds. The charge nurse should notify the nursing supervisor who will seek additional staff. c. I will place an area rug at the entry of my bathroom C-section planning discharge, postpartum infection, mastectomy. 3. 2. The LPN/LVN can reinforce teaching. 3. Estimate the number of Calories in two tablespoons of peanut In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. 4. Discuss the assignment with another LPN. The nurse has received the change-of-shift report. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Initiate oxygen and IV lines as needed. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. The nurse should perform which of the following activities in this space? 6. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. c. Environment What is the most appropriate action by the charge nurse? 2. Asking for an explanation Accept assignment, documenting personal concerns regarding work conditions. 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. d. What have you done in the past to cope with this issue? This documentation should go to your manager. 2. a. Incorrect: The charge nurse does not have to assess every client. 2. c. Changing a dressing A nurse is preparing an education presentation about organ donation for a group of newly licensed nurses. It is within the LPNs scope of practice to administer antibiotics. b. Decide which choice fits best in the blank. Notify the primary healthcare provider of transfer completion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. b. I'll do exercises that strengthen my abdominal muscles Of my three brothers and sisters, my sister Giselle has the best sense of humor. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. b. 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. Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. Explain oral hygiene to a client receiving chemotherapy Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. 3. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. 4. Sudden attacks of sleep a. All these clients have a GI problem. 3. Client diagnosed with inoperative brain tumor who is confused. 2. A person can be designated to make medical decision in the event the client cannot. c. imaginary A list of current medications is sent to the facility. 4. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. 2. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a Assist the float nurse with the clients case. 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. This service began with the client's admission to the hospital 2. Discussing a client's surgical procedure with the nurse manager Which of the following interventions should the nurse include? Document current functional status assessment Charge nurses have integral roles in healthcare organizations. If a sentence is already correct, write CCC. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? Notify the board of nursing (BON) that the float nurse is an alcoholic. A nurse is caring for a client who states, "I have got to get out of this hospital! c. Industry vs inferiority 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. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. Which of the following actions is an example of a violation of confidentiality? Which client should be assigned to the most experienced nurse? a. Reposition the client every 3 hr The cleint's family asks the nurse for info about this type of care. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. The client's self-report of pain severity, 88. 1, 3 & 5. Denial (SATA) -Bathing a client who had an amputation 2 days ago. C. Review a low-sodium diet for a client who has hypertension. e. Dysuria, 49. Talk to each nurse about concerns related to assigned clients. Once the client is stable, the UAP could perform this task. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. This is normal for clients with hemorrhoids. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Have a pen and paper handy b. c. Gender c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). 3. 3. 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). which of the following actions should the nurse perform? The third client that should be sent back for treatment is the female client stating she has been raped. d. Remove tea and coffee from meal trays, b. c. I will begin upon the client's admission to the facility Which of the following statements should the nurse identify as an indication that the client needs further instruction? Review the action of insulin therapy . c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. Incorrect: This response overlooks a potentially severe problem. Select all that apply. 3. Relax her abdominal muscles when she lifts an object Aplastic anemia is a rare but serious condition. a. 4. c. Can you tell me why you chose me? 3. 1. Which tasks should the charge nurse delegate to the nursing assistant? a. Accept the client's behavior as confrontational. a. Report of feeling pressure The charge nurse knows what client would be most appropriate for this LPN? A nurse is assessing a client at a follow-up clinic for acute low back pain. 2. 4. one of the licensed practical nurses Get the answers you need, now! 2. a. The client is getting better. Which of the following types of communication breakdown does this response represent? Licenced practical nurses are a little less educated than registered nurses. 1., 2., 4., & 5. Confrontation should occur in the presence of a charge nurse or supervisor. 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. Plan all care to be completed in early morning to allow afternoon for visitation. 5. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. Hanging a new bag of total parenteral nutrition (TPN). 1. Administer sodium polystyrene sulfonate enema. d. I will begin once the client's insurance company approves discharge coverage, b. A nurse is caring for an older client who is at risk for skin breakdown. c. Offering false reassurance What information should the nurse include? A nurse is preparing medication for a client when another client has an emergency. Suggest splitting the shift with another nurse. An experienced person who can research "best practice" regarding the issue is needed. a. Broth A family member requests that the nurse apply restraints. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. 1. D. Soaking the dentures in hot water Which of the following of Erikson's developmental stages should the nurse consider in the planning? 4. Turn on local news for up-to-date information on the train derailment. Which of the following statements should the nurse identify as an indication the client needs further teaching? Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. 1. Cystogram reporting burning on urination. Sit side-by-side with the client d. Proceed with the preparation of the patient's surgical procedure, 15. a. _____The house that we lived in for nine years has been sold. 1. Incorrect: Moistening the dentures will ease insertion. 1. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. d. principal. So, now you must decide which of these high priority clients should be seen in what order. This is not a situation that requires the LPN to notify the primary healthcare provider. Which of the following actions should the nurse include in the plan? A charge nurse is making assignments for an oncoming shift. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. 3. - Assisting a client to ambulate using a gait belt. What would the approximate meaning of photoelectric be, based on these root words? 2. a. I will keep my walker at the end of my bed 2. a. a. I'll apply ankle to my ankle today and tomorrow 10. a. Clarifying Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. b. Which client should the nurse see first? The client receives home health care and spends most of his day in a reclining chair. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. 1. Try different methods of oral care on unresponsive clients to see what works best. However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. 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. Transfer essential medical record to the receiving facility. Focusing a. I will begin 48 hr before the client's discharge Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. The nurse is reviewing some clients' prescriptions. Select all that apply You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. There are a total of 10 adult clients. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. This client needs careful monitoring and specialized care. Select all that apply. & 5. 4. The first vital sign check was performed by the nurse. Write N next to the nonessential clauses and E next to the essential clauses. Complete a client assignment sheet for the oncoming staff. Even though the client is a child, superficial burns require only dry sterile dressings and possibly oral pain medication, both tasks which are within the scope of practice for an LPN. a. Auscultate breath should at least ever 2 hr Perform the Heimlich maneuver The nurse is focusing on which of the following elements of the communication process? Assigning blame for the changes to administration will not help staff adjust. This client should report an improved respiratory, not shortness of breath. Place in priority order. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. The cause of the fall may be cardiac, but the question does not indicate this. c. We administer all medications intravenously to clients in this unit Incorrect: No, the monitoring is too specific for the med-surg nurse. a. b. During exacerbation, the client will have many diarrhea stools. 3. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. Correct: Traction should never be relieved without a primary healthcare provider's prescription. 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. b. 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. the nurse should delegate collection of which of the following specimens to DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia Maryville University The assignment process requires constant evaluation and reevaluation of information and priorities. c. Contact d. Determine if the client uses hearing aids, b. Which clients should be assigned to the CNA?

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