a charge nurse is making client care assignments

Which of the following actions should the nurse take? 2. c. Inform the surgical team to cancel the client's surgery 3. Correct: An LPN should be assigned clients with predictable outcomes. The cleint's family asks the nurse for info about this type of care. A nurse is completing discharge teaching with a client. The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. Select all that apply They are likely to wait for others to initiate conversation Correct: The unlicensed nursing assistant should not turn tube feedings off or on. Discuss the issue with the leader of the "best practices" committee. c. I will place an area rug at the entry of my bathroom d. When asking if the client took his medications this morning, 82. Correct: The UAP can remind the client to do something that has already been taught by the nurse. This client is eating a simple carb snack, but the nurse needs to check the client's blood glucose level to see if the snack has helped. 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. A medical-surgical LPN has been sent to a short-staffed pediatric unit. c. I will begin upon the client's admission to the facility 3. If your reasons for refusal were client safety, nurse safety, or an imperative personal commitment, document this carefully including the process you used to inform the facility (nurse manager) of your concerns. 3. What task would be best to assign to the LPN/LVN? Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. Incorrect: This group of clients needs specialized care. Female client stating she has been raped. UAPs can assist with elimination and are taught how to measure output. 5. Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Correct: Hot water may damage dentures so intervention is needed. The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. Elevating the head of the bed 30- 40 for the client post thoracotomy d. Discard the prepared medications and begin again after returning, d. I will wear synthetic clothing and woolen socks when using my oxygen (woolen and synthetic materials can generate static electricity and oxygen is a flammable gas - the client should wear cotton), 73. Notify the primary healthcare provider. The LPN/LVN can reinforce teaching. Report of feeling pressure The nurse should call for immediate help so that a safe care environment is maintained for all clients. The charge nurse delegates a licensed practical nurse (LPN) to perform an intervention that is not within the scope of practice for the LPN. 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. Notify the nurse manager The primary healthcare provider may have suggestions but this is not the best first action. Notify the surgeon that the client wishes to withdraw informed consent for the procedure a. An LPN/VN has been floated to the emergency room following a chemical plant explosion. c. Review a low-sodium diet for the client who has hypertension Therefore, this would not be the most appropriate nurse to assign to this client. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. The nursing supervisor may be able to assist with client care until another nurse can come in to work. b. 3. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. When handling any disaster, a facility must have a "command center" that is operated by outside personnel such as a Fire chief, Police, Swat or other outside emergency persons. 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. 2. 4. a. 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. 2. the nurse responds, "don't worry, no one will harm your family." A client requesting assistance packing his belongings for discharge later today., d. Put the side rails up and tell the client to call the nurse before voiding, d. Two nurses using a friction-reducing device (reduces the risk of injury to the nurses and to the client; nurses can use a draw sheet as a friction-reducing device), 38. Select all that apply Inform the client of the need to avoid irritants such as carbonated beverages. a. Clarification Which preoperative prescription should the nurse question? Nothing by mouth (NPO). Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. d. Assault, b. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. - Assisting a client to ambulate using a gait belt. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. Assist client to brush and floss teeth. Nothing will get passed the complete blockage. 9. Perform catheterization when you recognize the urge to void A nurse is planning care for a female client who has an indwelling urinary catheter. Four clients arrive for their appointment at a diabetic clinic. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? The nurse has just completed a 12 hour shift. Besides, a charge nurse is a leader on the floor and should possess . Client scheduled for breast reconstruction after mastectomy. Observe the client before taking further actions 1. Complete a client assignment sheet for the oncoming staff. Evaluate pain relief after narcotic administration. Speak to the UAP first and then decide if a between meal supplement is needed. 4. 4. 3. Announce the new changes at the monthly staff meeting. 3. A nurse is orienting a new assistive personal (AP) to the unit. 10. Nurses Report Sheet Template Nicu. 1. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. c. I'll bear weight on my ankle for 10 minutes every hour 3. The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. Aplastic anemia is a rare but serious condition. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. For which of the following actions should the nurse intervene? 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. An adolescent client post appendectomy reporting pain. Invite staff to contribute ideas on scheduling changes. There are a total of 10 adult clients. Drag and Drop the items from one box to the other. Provides safe, effective delivery of patient care in . 2. Nurses dependent on drugs or alcohol can harm clients. 3. (Select all that apply.) Give magnesium citrate 296 mL at 3 PM today. 6. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? However, there are some basic points which are standard among all facilities. Ask the charge nurse to evaluate the intervention. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. c. I will make sure my visitors smoke outside Of my three brothers and sisters, my sister Giselle has the best sense of humor. 2. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. which client would be most appropriate to assign a licensed practical nurse (lpn)? d. Apply cornstarch to keep the skin dry, b. Wash the area of the puncture thoroughly with soap and water (the greatest risk to this client is injury from any bloodborne pathogens on the needle therefore the first action the nurse should take is to provide immediate first aid), 28. a. Bathe a client who had an amputation 2 days ago Additionally, off-duty personnel may be needed and should be alerted to stand by; however, the command center alone makes the determination whether extra personnel should be called in, or if it would put more individuals in jeopardy. Which of the following actions should the nurse take? a. Which client should the nurse assess first? a. I will wear gloves when removing food from the freezer 3. Which of the following actions should the nurse take to assist the client with feeding? 3. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. c. Face shield Incorrect: The charge nurse does not have to assess every client. The charge nurse's best response is to first obtain the needed information to make the best decision. 3. Which of the following client statements should indicate to the nurse the need for additional teaching? 4. a. 2. Client reporting epigastric pain and nausea after eating. 1. There may be a good reason that the tray was not served. All these clients have a GI problem. During the admission of pediatric client with a compound fracture of the right femur following a sports injury, which delegation by the charge nurse is most appropriate? Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). This includes medication enemas. 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. 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. Client two days post percutaneous endoscopic gastrostomy (PEG) placement. 2. a charge nurse is making client care assignments for the day. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. A nurse is teaching a client about carbon monoxide poisoning. So what is wrong with option #1? Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. b. The infusion rate has stopped but the tubing is not kinked The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. a. b. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. A nurse is providing care to a client who is on strict bed rest following surgery. The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? b. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. b. We see that the temperature is already elevated, which makes us worry that infection is present. Complete blockage of the large intestine. The nurse is using which of the following therapeutic communication techniques? b. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? 3. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. 2. 1. Return any fresh linen not used for a client to the linen supply area 1. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. 3. b. Incorrect: This is not completely practical for everyone. a. I will keep spare crutch tips handy The LPN should refuse the intervention. 1. b. 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. 3. 2. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Incorrect: This client does not have a predictable outcome. 1. Which clients should be assigned to the CNA? e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. Which of the following sites should the nurse plan to use to obtain the blood specimen? Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. (Select all that apply.). This determination is needed to assure client safety is being considered. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Normally, red blood cells are flexible and round, moving easily through blood vessels. Drag and Drop the items from one box to the other. 4. Change the subject when the client behaves defiantly c. Providing anticipatory guidance to a client in crisis b. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. d. Voided 30 mL frequently, 48. A client with epilepsy reporting an odd smell in the room. c. Depression A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. 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. 1. A nurse is caring for a client who has limited hand movement. Did you recognize ureterolithiasis as "kidney stones"? a. c. Respite care helps relieve pain and promote comfort Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Respite care provides holistic support and care for a client who is terminally ill a. Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. Dr. Frankenstein had seen himself as a(n) ?\underline{? 4. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. The nurse is using which level of communication at this time? c. Palpating for pedal edema A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). Assessing this client and titrating the diltiazem requires the skills of an RN. A nurse is preparing to move a client who is only partially able to assist up in a bed. A nurse is preparing medication for a client when another client has an emergency. This client needs ongoing monitoring which is within the scope of practice for the LPN. Following a large hurricane, multiple clients arrive at the emergency room for treatment. Drag and Drop the items from one box to the other. 1) Bathe a client who had an amputation 2 days ago. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. is a new graduate in orientation. d. What have you done in the past to cope with this issue? 5. 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). d. Perception 1. 5. The situation should be explored before bringing the supervisor in on the situation. Ambulating a client who is 2 days post vaginal hysterectomy In what order should the emergency department triage nurse send these clients to a room for treatment? 2. b. c. Hallucinations at the onset of sleep, 65. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following actions indicates that the AP understands the principles of infection control? A nurse is caring for a client who is postoperative following an appendectomy. Showing disapproval 1. c. Take the client to the bathroom every 2 hr nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. For which of the following tasks should the nurse wear protective eye equipment. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. Vital sign measurement e. Feed a client who had a stroke 3 months ago, 32. 2. 1. The charge nurse knows what client would be most appropriate for this LPN? a. 4. Explain to the RN that all the nurses have the same number of clients. c. Explain the risks and benefits of the procedure Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? b. A nurse is admitting a client who has a partial hearing loss. 3. A nurse is caring for a client who has a wound infection. a. Witness the client's signature 3. Anyone over age 18 can have an Advanced directive. c. Changing a dressing, 78. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. Also, making a surgical bed for the client returning from surgery is a basic procedure. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. It is quicker to administer medications intravenously in the hospital Client with ureterolithiasis who requires frequent PRN pain medication. Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case), 29. 3. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? Discarding the first urine voided by the client starting a 24 hour urine test. Channel "The client is weak on the right side, so please assist the client with dressing . Select all that apply The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Client with a T-5 spinal cord injury beginning rehabilitation therapy. There are a total of 10 adult clients. c. Confrontation d. Motor impairment, 84. A nurse is caring for a client who has a mental health disorder. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. 2. What is the best first action for the nurse to take in order to achieve this goal? a. b. The nurse caring for the client at the time of death requests organ donation A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following pieces of PPE should the nurse remove first? This referral would be appropriate. 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. 2) Assist a client to ambulate using a gait belt. Triage and assign color-coded tags to each client. a. Suggest splitting the shift with another nurse. ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. Pick up the tray and tell the UAP that they didn't do a good job. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. 2. However, providing care for missing teeth would also be within the LPN scope of practice. 4. c. Decreased sodium excretion d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. 2. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. c. Nonfat milk Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? Incorrect: A slightly decreased pedal pulse to the affected extremity is not unusual following cardiac catheterization. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. Select all that apply 3. Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. Following the teaching, the nurse asks the client to describe one physical effect. c. Offering false reassurance Point out inconsistences in the client's behavior c. I will inspect my crutches everyday for signs of wear Monitor for GI upset 30 minutes after meals. The charge nurse might not have realized all the responsibilities of taking this team of clients. The nurse suggest that the family might need to respite care services. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? Sit side-by-side with the client Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. 3. Which client would be appropriate for the RN to assign to the LPN? 1., 2., 3., & 4. If the volume of the bucket is 4.67L4.67 \mathrm{~L}4.67L, how many grams of gold are there likely to be in 2.381032.38 \times 10^32.38103 cubic feet of soil? c. Assist the client to the floor and begin mouth-to-mouth This client could be transferred with traction still maintained. Provide a between meal supplement to the client. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. 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 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. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. a. 3. Which of the following nontherapeutic communication techniques is the nurse using? 2. 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. Could you try contacting a support group 1. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. The nurse also needs to be aware of the color and amount of urine voided. Hanging a new bag of total parenteral nutrition (TPN). 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. Twist at the waist when she moves an object to one side c. We administer all medications intravenously to clients in this unit Documentation is a communication tool for the interprofessional health care team. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. Incorrect: The RN is responsible for assessment and evaluation. d. Lean back in the chair, b. c. Use intermittent eye contact The nurse is responsible for the assessment of all vital signs of post-op clients. 4. It's just not the right time for me to do this Evaluate client's safety risk factors. a. Measure urine output when client voids. A nurse is assessing a client who has narcolepsy. 4. A nurse is caring for a client who has a hip fracture that requires surgical repair. Incorrect: This would unnecessarily alarm the clients. 2. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. a. I'll sit with my knees lower than my hips Incorrect: This prescription is written correctly. Although this will require assessment, this client is not the priority at this time. Relax her abdominal muscles when she lifts an object Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a c. Palpating for pedal edema Which of the following infection-control precautions should the nurse use caring for this client? Though it may benefit staff to have one particular goal, some clients cannot tolerate to have everything performed at one time, and instead need short rest periods during personal care. 2. The nurse does not know the skills of the new UAP. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? b. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

Waller County News Blog, Brent Metcalfe Family, Novavax Covid Vaccine Approval Date, List Of Cities And Towns In West Prussia, Southend Crematorium Funeral List, Articles A