a charge nurse is making client care assignments

6. 2. 4. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Client scheduled for breast reconstruction after mastectomy. d. Respite care is a continuation of psychological support after a family member dies. A nurse is administering a cold therapy application to a client. c. I will place an area rug at the entry of my bathroom 2. b. This individual should be provided appropriate comments of appreciation for this accomplishment. The client was lying on the floor next to his bed (nurse should document what they actually see), 68. A nurse is caring for a client who is about to have a colonoscopy. Assist a client to ambulate using a gait belt Tenderness over the symphysis pubis Rewrite each incorrect sentence to correct the error. Empty the drainage bag at least every 8 hrb.) The third client would be the one needing a dressing change. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. 3. The provider must renew a restraint prescription every 8 hr. b. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. c. Physical therapist Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. They are likely to wait for others to initiate conversation 3. b. Place in priority order. b. 1. Sudden attacks of sleep a. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? Making client care assignments As the RN charge | Chegg.com Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? This situation is considered an external disaster which means the hospital will be expecting multiple victims. Incorrect: The concern here is the client being fed their meal. Compartment syndrome could be developing which can impede circulation and cause nerve damage. c. They tend to use more verbal communication 3. A client with diabetes admitted for debridement of a foot ulcer. a. 1., 2., 3., & 4. Select all that apply A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). a. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Correct: Traction should never be relieved without a primary healthcare provider's prescription. a. 8. The client with chronic emphysema has expected shortness of breath. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a 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. b. 3. Drag and Drop the items from one box to the other. 4. However, it remains true pain for this client and the client would need intervention to help manage this pain. a. 3. When a family member asks how respite care can help, which of the following responses should the nurse provide? 2. Which of the following nontherapeutic communication techniques is the nurse using? a. 2. This documentation should go to your manager. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Showing disapproval A float nurse arrives on the unit to assist in the care of clients for the shift. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. _____The house that we lived in for nine years has been sold. Client scheduled for a dressing change to foot ulcer. Speak to the UAP to determine what happened with the feeding. The third client that should be sent back for treatment is the female client stating she has been raped. Which of the following responses should the nurse make? b. c. Contact e. The urge to move the legs when trying to sleep, 66. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. The cause of the fall may be cardiac, but the question does not indicate this. Which of the following statements should the nurse make? b. Summarization Which of the following instructions should the nurse give to the client prior to the procedure? 1. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Which of the following statements should the nurse identify as an indication the client needs further teaching? Respite care allows the primary caregiver time away from day-to-day care responsibilities b. I'll use the cleansing wipes from the front to back Client who is a diabetic experiencing diabetic neuropathy. Allow families unlimited visitation around the clock to meet their schedules. A nurse is caring for a client who is scheduled for an elective surgical procedure. An adult (18 years or older) can create an advanced directive. b. Massage any bony prominences to promote circulation c. Nonfat milk What was the hint? 3. The charge nurse needs additional information to make a decision. b. Which of the following actions should the nurse take? Clients over the age of 65 must have a saline lock according to facility policy Twist at the waist when she moves an object to one side Select all that apply. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. This is a task that can be delegated to the LPN/LVN. 2. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. 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). A nurse receives a client care assignment from the charge nurse that he believes is unfair. Select all that apply Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. Changing the subject The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. a. b. Removing the client's dentures A nurse is caring for a client who has a mental health disorder. c. Distended bladder d. Mask, 83. The first vital sign check was performed by the nurse. 1. a. 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? 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. The nursing supervisor may be able to assist with client care until another nurse can come in to work. The client post PEG placement is stable. So, the UAP can assist a client to brush and floss teeth. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. A nurse instructs a female client about collecting a midstream urine sample. Channel 2. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? Notify the primary healthcare provider of transfer completion. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. What task would be best to assign to the LPN/LVN? The nurse is using which level of communication at this time? The other options may be correct but are not the best first action. The nurse should assess the client for which of the following expected outcomes after catheter removal? d. I decline this opportunity at this time, b. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet a. c. Check to see if the suction equipment is working The Role of the Registered Nurse as Charge Nurse Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. The fourth client the nurse should assess is the client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. The client states, "I am so nervous about what the doctor might find during the test." A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. One nurse lifting as the client pushes with his feet This protein is released by cells in the stomach. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. "Please explain what you mean by the word 'nervous'.". Which of the following responses should the nurse make? It is not a routine task. Incorrect: This prescription is written correctly. 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. b. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. Encourage the client to use self-exploration d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. The women's health charge nurse is making assignments for the next shift. 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. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. 2. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? c. Explore the client's feelings about dietary modifications b. I'm drinking plenty of fluids." 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. 3. b. Which of the following of Erikson's developmental stages should the nurse consider in the planning? 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. 5. Client with a T-5 spinal cord injury beginning rehabilitation therapy. Write the letter of your choice on the answer line. 4. b. 4. Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. Ask the float nurse, "Have you been drinking?" Stand directly in front of the client 4. Correct: The UAP can remind the client to do something that has already been taught by the nurse. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. Assist a client to ambulate using a gait belt What options would be appropriate for the nurse to take? The nurse has received the change-of-shift report. Each state BON differs in that also some have treatment programs they administer themselves. Explain oral hygiene to a client receiving chemotherapy Of my three brothers and sisters, my sister Giselle has the best sense of humor. c. Include intact skin at the wound edges in the culture It would not be appropriate to overload this new employee with extra work. Which of the following items should the nurse offer the client? b. 77. The nurse should not assume that the UAP just did not do their job, but needs to ascertain the reason for not feeding the client. c. Foot d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. In what order should the nurse assess assigned clients following shift report? c. We administer all medications intravenously to clients in this unit A nurse who is 10 weeks pregnant. d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12. Nothing life threatening. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? The nurse also needs to be aware of the color and amount of urine voided. Ask the charge nurse to evaluate the intervention. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. 3. a. a. 2. 3. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. The spouse can rescind the Advance Directive if the client becomes unresponsive. Injuries from a motor-vehicle accident can be life threatening. To confirm the placement of the NG tube Select all that apply Which of the following items should the nurse include on the lunch tray? b. Wash the tablet off with alcohol and place it in a clean medicine cup b. 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. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. When determining if the client is eating a well-balanced diet Ask the primary healthcare provider to suggest the best oral care procedure. Increased insulin production Correct: An LPN/LVN's scope of practice includes tasks such as wound care. Aplastic anemia is a rare but serious condition. Which of the following actions should the nurse take? The nurse caring for the client at the time of death requests organ donation This action is a defensive intervention, and does not address the quarrelsome behavior. Which of the following statements should the nurse identify as an indication that the client needs further teaching? 1. and 16 g of fat. 1. 1. a. Correct: The client may be experiencing a myocardial infarction and requires further assessment. 3. 5. 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. The nurse would then start the 24 hour urine once the 1st void has been discarded. 1. This client is not the nurse's first priority. What is the appropriate assignment? Anyone over age 18 can have an Advanced directive. The primary healthcare provider may have suggestions but this is not the best first action. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. This is a diabetic clinic. Comatose client with end stage chronic obstructive pulmonary disease. c. Washes and rinses her hands for 10 seconds, 11. 5. Speak using his usual tone of voice 1. A charge nurse is making client care assignments for the day. which b. 1. 3. a. Currently, your census is 11, with one empty bed. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. d. What have you done in the past to cope with this issue? Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. The charge nurse is planning assignments on a medical unit Which client c. Consensus evolves in this stage For which of the following actions should the nurse intervene? This should not be delegated to the LPN/LVN. Have another nurse guard the medication preparations until the nurse returns The nurse should not be assigned to provide care if impairment is suspected. Which of the following findings should the nurse expect? 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. Nothing life threatening, but an assessment needs to be made regarding the ulcer. 1. d. Voided 30 mL frequently, 48. 6. Incorrect: Medications are not transferred with the client to a new facility. which of the following actions should the nurse perform? b. What would the approximate meaning of photoelectric be, based on these root words? 3. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. A nurse is creating a discharge plan. 1. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. d. I have a set of my brothers' crutches in the basement I can also use, a. 5. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. This can prevent harm to client's. Which of the following instructions should the nurse include? d. I will begin once the client's insurance company approves discharge coverage, b. d. Bend at the knees when picking up an object, 99. The nurse should perform which of the following activities in this space? Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). 2. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 4. 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. They are able to manage tasks related to basic care. Select all that apply A client with COPD complaining of shortness of breath on exertion. Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. 4. Which of the following actions should the nurse perform when opening the sterile pack? a. Place the client in low Fowler's position The nurse could definitely be part of the committee. b. Emptying a urinary drainage bag for a client who has pneumonia b. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. 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? Which of the following types of communication breakdown does this response represent? The nurse is using which of the following therapeutic communication techniques? c. Decreased sodium excretion b. Incorrect: The RN is responsible for assessment and evaluation. a. Two nurses lifting the client under the shoulders The LPN/LVN can reinforce teaching. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. What is the best care assignment for this client? d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) 2. Select all that apply. Cystogram reporting burning on urination. Temporary urinary retention (common for clients to develop after removal), 90. Report of feeling pressure 4. 3. d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. -Review a low-sodium diet for a client who has HTN 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. b. c. There is fluid leaking around the insertion site d. Motor impairment, 84. It is within the LPNs scope of practice to administer antibiotics. These are appropriate tasks for an UAP to complete. 3. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. Feed the client after warming the food. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. 3. This could indicate a worsening of this client's condition. The report should contain consequences. The surgeon initially prescribes a clear liquid diet. 2. 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.

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