a charge nurse is making client care assignments

Oral surgeon a. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. 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. Everyone knows there are others who can chair this committee better than me a. Start MgSO4 at 3g/hr IV Select all that apply. Select all that apply. 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. 1. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. a. I wish I didn't have to attach the electrodes to my skin This documentation should go to your manager. Asking for an explanation 3. If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. d. I shouldn't advice you about what is ultimately a personal decision, b. 3. Which of the following actions should the nurse take? b. Negligence In what order should the emergency department triage nurse send these clients to a room for treatment? Besides yourself, there are the following staff: Your unit has 12 beds. b. b. 3. The unit is short one staff member and will receive a nurse from the medical surgical unit. The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. 2. The nurse should use close-ended questions when assessing which of the following factors? This is a task that can be delegated to the LPN/LVN. A medical-surgical LPN has been sent to a short-staffed pediatric unit. Which of the following actions should the nurse take regarding informed consent? The client post PEG placement is stable. I'm drinking plenty of fluids." A new UAP is efficiently completing all daily assignments accurately and in a timely manner. Which of the following statements should the nurse identify as an indication that the client understands the instructions? Yes! Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. One nurse lifting as the client pushes with his feet 2. Administering 3 g/hr IV of morphine would be extremely dangerous. This service focuses on teaching the primary caregiver to meet the client's needs a. 3. It also helps the client deal with issues that are important to him), 19. Which of the following instructions should the nurse give to the client prior to the procedure? Underline the adjective clause in each sentence. The nurse voices his concern to the charge nurse. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Because the charge nurse observes and weighs . b. c. Respite care helps relieve pain and promote comfort 2. 4. 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. The nurse chooses to confront the client. 4. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. c. Washes and rinses her hands for 10 seconds A nurse is providing care to a client who is on strict bed rest following surgery. Which of the following statements should the nurse make? Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. a. The nurse has another priority. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. Client with ureterolithiasis who requires frequent PRN pain medication. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? (Select all that apply.) Increased insulin production Include any relevant statements the client made about the ulcer, 64. Reporting laboratory findings to a member of the client's family Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. This service began with the client's admission to the hospital Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. Incorrect: The RN is responsible for collecting data. 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. Provides day to day direction and supervision to assigneddirect patient care staff . Correct: Traction should never be relieved without a primary healthcare provider's prescription. The nurse does not know the skills of the new UAP. c. I'll bear weight on my ankle for 10 minutes every hour In which situation should the nurse consult the client's advanced directive? Allow families unlimited visitation around the clock to meet their schedules. b. I'll use the cleansing wipes from the front to back We see that the temperature is already elevated, which makes us worry that infection is present. Pick up the tray and tell the UAP that they didn't do a good job. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. Encourage client to express grief related to loss of independence. 1. Which of the following interventions should the nurse include? Explain oral hygiene to a client receiving chemotherapy A client with an above the knee amputation reporting phantom pain. Once the client is stable, the UAP could perform this task. 3. Initiate oxygen and IV lines as needed. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. Client diagnosed with inoperative brain tumor who is confused. a. Question: A charge nurse is making client care assignments. A client receiving heparin injections for deep vein thrombosis. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. A nurse is assessing a client at a follow-up clinic for acute low back pain. d. What have you done in the past to cope with this issue? 5. Incorrect: While it is true that the nurse manager is ultimately responsible for implementing and announcing new schedule changes, doing so without any staff input can create discontent in the work environment. a. d. Place the tablet directly into a medication cup, 36. 2. b. Irrigate the NG tube with 100 mL of sterile water Also, making a surgical bed for the client returning from surgery is a basic procedure. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? 2. c. Confrontation a. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Which of the following actions should the nurse perform when opening the sterile pack? The client can indicate desire for Do Not Resuscitate (DNR). Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. A nurse who is on hormone replacement therapy. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. 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. Which of the following actions should the nurse take to assist the client with feeding? 4. A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse prefers to check all vital signs on all clients. Which clients should be assigned to the CNA? Stand directly in front of the client 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. Documentation of what occurred, and the client's assessment is required in the nurse's notes. Warm the feeding solution to the body temperature 5. 1. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Sit side-by-side with the client 4. 2. b. Incorrect: The nurse is responsible for monitoring a client. Measure urine output when client voids. c. Open the right flap with the left hand The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. c. Provide the client with a diet high in protein a. 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 c. imaginary The charge nurse is making client assignments for a neuro-medical floor. Which of the following actions should the nurse take? 1. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. Place in priority order. a. A nurse is caring for a client who is postoperative following an appendectomy. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. 1., 4., & 5. The reason for the UAP not feeding the client needs to be determined. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. b. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. Correct: The client may be experiencing a myocardial infarction and requires further assessment. b. 3. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). d. Perception Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. "Please explain what you mean by the word 'nervous'.". 2. b. 3. When a family member asks how respite care can help, which of the following responses should the nurse provide? b. I will try to anticipate and avoid stressful situations when possible Estimate the number of Calories in two tablespoons of peanut Correct: The UAP can remind the client to do something that has already been taught by the nurse. A client has been admitted with folic acid deficiency anemia. d. Reduced blood viscosity, a. Auscultating heart sounds (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. a. (Select all that apply.). This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. Which task should the nurse take responsibility for completing? 5. c. The restraints should promote the client's safety and prevent injuries The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. Pain Draining the colostomy bag on a client with diarrhea. However, it remains true pain for this client and the client would need intervention to help manage this pain. Client one day post kidney transplant. Make nursing assignments appropriate to the skill level . Currently, your census is 11, with one empty bed. The expected standard of care was strict bed rest), 96. Which of the following is the priority action by the nurse? Which of the following findings should the nurse expect? Incorrect: This again is assessment which is the role of the RN only. b. This could cause a medical emergency. Identify and assess each incoming client. 4. 3. Channel The charge nurse identifies that three admissions were received during the night shift, one nurse has called in sick, and the clients on the unit have high acuity levels. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? The nurse voices his concern to the charge nurse. Which of the following actions is the priority for the nurse to include in the client's plan of care? The nurse cannot allow the UAP to perform advanced tasks. Speak to the UAP to determine what happened with the feeding. b. Numbness Determine caregiver's stress level and coping strategies. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. A nurse is planning to discharge a client who has quadriplegia to his home. This stage is when testing occurs to identify boundaries of interpersonal behaviors Correct. 5. 5. A float nurse arrives on the unit to assist in the care of clients for the shift. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. b. a. Comatose client with end stage chronic obstructive pulmonary disease. 4. The client with chronic emphysema has expected shortness of breath. Encourage the client to use self-exploration 4. Notify clients that the disaster plan has been put into effect. c. Lock the medication in a room and finish preparing it after returning from the emergency 3. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. A nurse is caring for a client who is immobile. Turn on local news for up-to-date information on the train derailment. b. Moistening the dentures prior to inserting them Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. 2. There may be a good reason that the tray was not served. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. 2. c. To determine the client's electrolyte balance c. Changing a dressing, 78. It is within the LPNs scope of practice to administer antibiotics. b. Aplastic Anemia Support Group. a. Auscultate breath should at least ever 2 hr Removing the client's dentures 2) Assist a client to ambulate using a gait belt. The charge nurse delegates a licensed practical nurse (LPN) to perform an intervention that is not within the scope of practice for the LPN. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? 3. 1. The charge nurse is planning the staff assignments for the clients on a neurological unit. Administer tap water enemas until clear at 6 AM. Feedback Which of the following actions should the nurse include in the plan? This client is at a high risk of infection. Which of the following indications should the nurse include? Furosemide 40 mg PO q.d. }? benefactor of the world. A client receiving a blood transfusion that requires monitoring. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. 2. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? d. I have a set of my brothers' crutches in the basement I can also use, a. d. Left forearm, b. c. I suggest you talk with a mental health counselor about your concerns Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. A nurse is assessing a client who has narcolepsy. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. c. Review the client's progress toward personal objectives This includes medication enemas. 5. Twist at the waist when she moves an object to one side Incorrect: The nurse is responsible for evaluating a client. 212 Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. M2.4 Making Client Care Assignments - GECC As the RN charge nurse, you are preparing to make assignments for the oncoming shift on the medical-surgical unit. 1. Assist a client to ambulate using a gait belt. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. Licenced practical nurses are a little less educated than registered nurses. Correct: The client has the right to be involved in the decision making of their care. 4. 4. Which client would be appropriate for the RN to assign to the LPN? 1. What is the major histological difference between thick and thin skin? Have another nurse guard the medication preparations until the nurse returns a. Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. As a charge nurse, you're a frontline leaderthe first reflection of your organizationand you need to ensure you are meeting the organization's goals and values. This is the most stable of the four clients which places this client last to be seen. Serve milk products separately from meals A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Correct: The client must have lost decision-making capacity because of a condition that is not reversible or must be in a condition that is specified under state law, such as a terminal, persistent vegetative state, irreversible coma, or as specified in the Advanced Directive. c. 214 Which of the following pieces of PPE should the nurse remove first? This situation is considered an external disaster which means the hospital will be expecting multiple victims. Which client should be assigned to the most experienced nurse? 2. b. I will call the doctor and get the prescription However, providing care for missing teeth would also be within the LPN scope of practice. d. Respite care is a continuation of psychological support after a family member dies. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. c. Review another client's similar surgical experience a. I'll sit with my knees lower than my hips a charge nurse is making client care assignments for the day. A nurse is caring for a client who has a mental health disorder. 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. Nurses dependent on drugs or alcohol can harm clients. _________________ (magnanimous), a. generous Write the letter of your choice on the answer line. 2. Read all the current literature related to oral care on unresponsive clients. A nurse is preparing medication for a client when another client has an emergency. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. He charge nurse is making client care assignments for the evening shift. Performing passive range of motion (ROM) on the client with right sided paralysis. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. What is the most appropriate action by the charge nurse? Determine which personnel could be sent to the command center. The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. Narrative interaction An increased temperature will have a direct effect on the brain's metabolism and function. The cleint's family asks the nurse for info about this type of care. Limit the client's fluid intake in the evening c. Shivering There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. A charge nurse is making client care assignments. b. b. 2. Transfer essential medical record to the receiving facility. Provide positive feedback to the UAP. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. 2. This client could be transferred with traction still maintained. To confirm the placement of the NG tube d. Assault, b. 3. Monitor client for pain while assisting with ambulation. Which of the following statements by the student indicates understanding of the discussion? c. Physical therapist This is on the "Do Not Use" list of abbreviations because the period after the "Q" can be mistaken for "I", which would be interpreted as qid (four times a day) instead of the intended once daily dosage.

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