a charge nurse is making client care assignments

c. Rephrase statements the client does not hear 4. When a family member asks how respite care can help, which of the following responses should the nurse provide? Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. Correct: Communication is important in delegation, as is follow-up. 5. The unit is short one staff member and will receive a nurse from the medical surgical unit. Receive report from the emergency department (ED) on a new client. 1. It would not be appropriate to overload this new employee with extra work. Which of the following findings should the nurse expect? 3. 2. 1. Which client should the nurse see first? What is the best care assignment for this client? 4. 1. Cardiac catheterization with a decreased pedal pulse below insertion site. 4. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. A nurse asks a client to share personal stories. The client states, "I'm feeling a bit nervous today." 1. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Assist a client to ambulate using a gait belt. Places the soiled linen in the floor before bagging it Removing the client's dentures 4. a. Select all that apply. a. Administer tap water enemas until clear at 6 AM. d. Left forearm, b. To focus on effective learning with this client, which of the following interventions should the nurse use? This is an elderly client who is a new admit. Call the family of a client suffering from dementia to discuss long term care placement. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Which of the following instructions should the nurse give to the client prior to the procedure? 2. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. 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. d. Wait to discuss the behavior in the presence of others, a. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. b. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. Elderly client admitted 30 minutes ago with reports of constipation for four days. Removing the client's dentures The nurse has another priority. The nurse voices his concern to the charge nurse. c. Review another client's similar surgical experience 2. Which of the following activities should the nurse perform in this zone? 6. Which of the following client statements indicates an understanding of the procedure? Incorrect: It is out of the UAP's scope of practice to administer medication. b. I will begin once the client's discharge order is written Thus, the tasks involve successful management of the charge nurse's responsibilities. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. butter, which contain 16 g of protein, 7 g of carbohydrates, A nurse is caring for a client who is postoperative. 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. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A charge nurse is making client care assignments. 1. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. The nurse is using which level of communication at this time? c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures 3. 4. 4. c. Open the right flap with the left hand Incorrect: Obtaining the urinary output of a client at the end of the shift is appropriate for the nursing assistant and should be documented and reported to the RN. In the following sentences, circle each incorrectly used lowercase letter. 3. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. c. The emphasis is on the client's complete recovery from the illness or injury This stage involves constructive efforts on the part of the group members c. The restraints should promote the client's safety and prevent injuries 3. a. Report the incident to the charge nurse A. 3. d. They disclose more personal information, a. Pick up the tray and tell the UAP that they didn't do a good job. a. a. A charge nurse is making client care assignments. 1., 2., 4., & 5. b. Wash the tablet off with alcohol and place it in a clean medicine cup Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. 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. Soaking the dentures in hot water Which of the following client statements should indicate to the nurse the need for additional teaching? 2. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. (Select all that apply.) Tenderness over the symphysis pubis 3. Teaching about a medication Which of the following info should the nurse include? Have another nurse finish preparing the medications Reach around the pack and open the top flap away from the body, 53. d. Determine if the client uses hearing aids, b. This referral would be appropriate. (c) Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108\mathrm{Ba}^{2+}(a q)+\mathrm{CO}_3^{2-}(a q) \longrightarrow \mathrm{BaCO}_3(s) ; K=3.8 \times 10^8Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108 Respite care provides holistic support and care for a client who is terminally ill Explore the client's feelings 5. c. Check to see if the suction equipment is working 9. c. Document in the client's medical record that she completed an incident report A nurse is caring for a client who is immobile. A nurse is caring for a client who has a mental health disorder. Changing the subject Select all that apply 4. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 1., 2., 3., & 4. They are likely to wait for others to initiate conversation A nurse who is on hormone replacement therapy. c. Gender A. Transporting a client who experienced a stroke 72 hr ago to the radiology department The charge nurse should notify the nursing supervisor who will seek additional staff. 2. with this question, the nurse is using which of the following communication techniques? 3. Use double bagging to remove soiled linen from the client's room What was the rationale for this plan? Which of the following methods should the nurse plan to use? Relief of urinary retention Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. Which of the following responses should the nurse make? 2. Stand directly in front of the client A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. 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. The client with cystitis is stable and has a predictable outcome. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. 1. Assist a client to ambulate using a gait belt. Teach caregivers memory enhancement aids. 1., 3, & 4. Which referral would most likely be appropriate for the nurse to make? When the licensed person cannot determine this, the task should not be delegated. a. Gather supplies to prepare room for isolation. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. The supervisor can only send one LPN/LVN to the floor. Read all the current literature related to oral care on unresponsive clients. 2. A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. c. Request a tray without pork Symbolic communication Correct: The unlicensed nursing assistant should not turn tube feedings off or on. 2. "Please explain what you mean by the word 'nervous'.". 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 a. a. Reposition the client every 3 hr c. Do not eat or drink anything the morning of the test d. Go to employee health services, b. Protective c. Paraphrasing Reporting laboratory findings to a member of the client's family As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. Decreased or suppressed respiration are priority. c. Use an aggressive tone of voice 1. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. e. Feed a client who had a stroke 3 months ago, 32. d. Two nurses using a friction-reducing device, d. Use attentive listening with the client (when establishing presence, eye contact, body language, voice tone, listening, and reflection convey openness and understanding), 39. 3. The client is getting better. 4. a. Administering IV pain medication to a two day post op client. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. b. Grape juice Answer the following question to test your understanding of the preceding section: d. Voided 30 mL frequently c. I'll need to shave the hair off the skin where I place the electrodes Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. The infusion rate has stopped but the tubing is not kinked b. This protein is released by cells in the stomach. It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home), 45. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. 6. 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. a. Aplastic anemia is a rare but serious condition. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. It's just not the right time for me to do this Perform range of motion (ROM) exercises at least 2-3 times daily Notify the nursing supervisor of the situation. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. A nurse is caring for a client who expresses anxiety about his impending surgery. d. When asking if the client took his medications this morning, 82. c. Decreased sodium excretion 3. 4. Assist a client to ambulate using a gait belt C-section planning discharge, postpartum infection, mastectomy. d. Highly concentrated urine, 91. b. 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. d. What have you done in the past to cope with this issue? Nurses Report Sheet Template Nicu. This client is at a high risk of infection. a. I'll sit with my knees lower than my hips A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. 2. Determine caregiver's stress level and coping strategies. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. c. Shivering Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. d. Droplet, d. Bend at the knees when picking up an object, 98. Ask for any staff objections to rearranging work hours. They are more direct when discussing issues Nothing by mouth (NPO). Based on the information provided in report, which client condition should be the nurse's priority? d. Transporting a cerebrospinal fluid specimen to the lab It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. Which of the following statements should the nurse identify as an indication that the client requires further clarification? Inform the client of the need to avoid irritants such as carbonated beverages. The third client would be the one needing a dressing change. Which prescription should the nurse question and have corrected? Drag and Drop the items from one box to the other. Client to receive dietary education. Notify the charge nurse of the observations. b. Correct. Select all that apply. 1. 2. The last client would be the one needing dietary education. which of the following actions should the nurse perform? a. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) A nurse is caring for an older adult client who has a fractured hip and will require rehab care. Which clients should be assigned to the CNA? The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. 3. 2. This client will also need a lot of education regarding anti-rejection medications. The nurse should not lecture, scold or argue with the float nurse. Which of the following statements should the preceptor make? A nurse is preparing to move a client who is only partially able to assist up in a bed. One nurse lifting as the client pushes with his feet d. Counting radial pulse a. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. c. Take the client to the bathroom every 2 hr But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. b. Select all that apply 2. What action should the nurse implement first to ensure client safety? The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. a. Elicit info from the client Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. Correct: The client has the right to be involved in the decision making of their care. 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. d. The nurse has already considered alternatives to restraints, a. b. I can detect the presence of carbon monoxide by a metallic odor 1., 4., & 5. Limit the client's fluid intake in the evening The nurse could definitely be part of the committee. The nurse is caring for four clients. Something new could have occurred with the clients, making the assignments too heavy. Respite care allows the primary caregiver time away from day-to-day care responsibilities Incorrect: This response overlooks a potentially severe problem. 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). 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. 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. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. b. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. b. b. However, it remains true pain for this client and the client would need intervention to help manage this pain. d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. 2. 2. Incorrect: This would unnecessarily alarm the clients. -Review a low-sodium diet for a client who has HTN Aplastic Anemia Support Group. Ask the client to perform a return demonstration of insulin injection Incorrect: The nurse is responsible for evaluating a client. These are appropriate tasks for an UAP to complete. When staff do not feel vested in any new process, there is a sense of underappreciation. 3. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. What interventions can the nurse delegate to the LPN/VN? 2. 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. 2. Start MgSO4 at 3g/hr IV A nurse is caring for a client who frequently attempts to remove his IV catheter. 3. The cleint's family asks the nurse for info about this type of care. a. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? 3. a. a. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. The client was lying on the floor next to his bed (nurse should document what they actually see), 68. 3. 3. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). This task cannot be delegated to the LPN/LVN. 1. Which client should be assigned to the most experienced nurse? 2. A nurse is orienting a new assistive personal (AP) to the unit. a. c. When asking the client how he completes his ADLs Refuse the assignment, being prepared for disciplinary action. Each ROM movement should be repeated 5 times during the session. Nursing questions and answers. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. Both of these clients are terminal. 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 3) Review a low-sodium diet for a client who has hypertension. 5. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? 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. Monitor client for pain while assisting with ambulation. Feed a client that had a stroke 3 months ago. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. Select all that apply Client scheduled for breast reconstruction after mastectomy. 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. 1. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. 4. A nurse is caring for a client who states, "I have got to get out of this hospital! The charge nurse might not have realized all the responsibilities of taking this team of clients. A nurse is completing discharge teaching with a client. 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. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. b. Evaluate client's safety risk factors. c. Notify the nurse manager 3. a. Which of the following responses should the nurse make? Incorrect: The charge nurse does not have to assess every client. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. C. Review a low-sodium diet for a client who has hypertension. What is the appropriate assignment? Where on the body is each type of skin found? Ask client if they are eating small, frequent meals. Teaching insulin self administration to a diabetic client. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines. b. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. This situation is considered an external disaster which means the hospital will be expecting multiple victims.

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