a charge nurse is making client care assignments a charge nurse is making client care assignments

A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. (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. 2. Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. d. I have a set of my brothers' crutches in the basement I can also use, a. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day A nurse who is 10 weeks pregnant. 1. 4. This is likely cholelithiasis, which will need to be checked out. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures b. 4. Occupational therapist c. Do not eat or drink anything the morning of the test 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. 2. This determination is needed to assure client safety is being considered. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. a. Gloves e. Feed a client who had a stroke 3 months ago, 32. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. This stage is when testing occurs to identify boundaries of interpersonal behaviors Which client should the nurse see first? There is a possibility that a hypothermia blanket may be prescribed. The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. 2. The nurse is using which of the following therapeutic communication techniques? The first vital sign check was performed by the nurse. the nurse responds: "It must be very frustrating to encounter this kind of attitude." Which of the following should the nurse identify as an interpersonal variable? 4. This would be an acceptable task to assign to the UAP. He charge nurse is making client care assignments for the evening shift. It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. 3. 2. Focusing 4. 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? a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. 3. The provider must renew a restraint prescription every 8 hr. During exacerbation, the client will have many diarrhea stools. The nurse voices his concern to the charge nurse. A nurse is prioritizing care for two clients at the start of the shift. Incorrect: This client is exhibiting early signs of increased intracranial pressure. The surgeon initially prescribes a clear liquid diet. 3. Select all that apply. Autonomy vs shame and doubt b. Anyone over age 18 can have an Advanced directive. 4. These irregularly shaped cells can get stuck in small blood vessels, which can slow or block blood flow and oxygen to parts of the body. The nurse has been assigned four clients. 4. d. Determine if the client uses hearing aids, b. Splitting the overtime shift is an acceptable option that the nurse could suggest in order to solve the staffing problem and decrease the amount of time the nurse will be working. These individuals are selected by the charge nurse, and do not have to be nurses. b. Wash the area of the puncture thoroughly with soap and water a. I'll sit with my knees lower than my hips 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. c. Notify the nurse manager This should not be delegated to the LPN/LVN. C. Review a low-sodium diet for a client who has hypertension. Prospectors are considering searching for gold on a plot of land that contains 1.31g1.31 \mathrm{~g}1.31g of gold per bucket of soil. The nurse voices his concern to the charge nurse. 4. 2. 2. a. The nurse chooses to confront the client. Removing the client's dentures Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. Decreased or suppressed respiration are priority. The nurse received a client following surgery 8 hours ago. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. 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 tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. b. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? 4. Point out inconsistences in the client's behavior a. 5. 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. The nurse does not know the skills of the new UAP. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. *HURST REVIEW Qbank/Customize Quiz - Leadership 2. Serve milk products separately from meals Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. 2. 4. 1. Notify the board of nursing (BON) that the float nurse is an alcoholic. c. Malpractice A Medical Power of Attorney is a type of Advance Directive that appoints a health care agent to make decisions on the client's behalf when the client is unable to do so. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? b. CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The option does not say the client is terminal, in a vegetative state, or in a coma. Select all that apply d. Sleep apnea A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Each state BON differs in that also some have treatment programs they administer themselves. Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. b. A nurse is preparing to move a client who is only partially able to assist up in a bed. 1., 2., 3., & 4. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Encourage the client to be more cooperative. 4. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. Dentures should be stored in a denture cup. Select all that apply Which of the following statements should the nurse make? 1. Ask client if they are eating small, frequent meals. a charge nurse is making client care assignments for the day. d. Mask, 83. a. 6. 1., 3, & 4. 2. 5. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Donning gloves and using a gauze pad to grasp and remove dentures Elderly clients have special fluid and electrolyte issues after a fall. Pain b. Offer to take one of the clients. The key word in the stem is first. Incorrect: The RN is responsible for assessment and evaluation of clients. 4. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? A nurse is caring for a client who has a wound infection. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). 2. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. 3. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. a. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Prepare a list of clients who could quickly be discharged or transferred. Only a plain enema or soap enema can be given by the UAP. Rewrite each incorrect sentence to correct the error. Which client can be assigned to the LPN? a. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. Confrontation should occur in the presence of a charge nurse or supervisor. Twist at the waist when she moves an object to one side 2. Electric cords behind the furnitrure Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. Decreased RBC production This client should report an improved respiratory, not shortness of breath. 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. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. Comatose client with end stage chronic obstructive pulmonary disease. This client needs ongoing monitoring which is within the scope of practice for the LPN. A charge nurse is making assignments for an oncoming shift. a. Broth The area surrounding the insertion site feels warm to the touch, 61. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. 1. a. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Client two days post percutaneous endoscopic gastrostomy (PEG) placement. c. Nonfat milk c. Offering false reassurance Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. A nurse is teaching a client about the physical effects of chemotherapy. A. The client asks the nurse, "Why do I need that? The client with chronic emphysema has expected shortness of breath. b. I'm so sorry to hear about this Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. The expected standard of care was strict bed rest), 96. Empty the drainage bag at least every 8 hrb.) 2. b. I will come back later and we can talk 1. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Each ROM movement should be repeated 5 times during the session. Incorrect: The client does need to have food; however, there is another action that should be performed first. 4. A nurse asks a client how he is feeling. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) Fundamentals Practice Flashcards | Quizlet d. Routine acquisition of a urine specimen Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Client scheduled for breast reconstruction after mastectomy. b. Irrigate the wound with an antiseptic prior to obtaining the specimen A nurse is caring for a client who frequently attempts to remove his IV catheter. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. The nurse suggest that the family might need to respite care services. 1. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. Give magnesium citrate 296 mL at 3 PM today. b. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? A. Transporting a client who experienced a stroke 72 hr ago to the radiology department Client prescribed antibiotics for cystitis. a. I'll apply ankle to my ankle today and tomorrow The body needs vitamin B12 to make red blood cells. Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) 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. Soaking the dentures in hot water The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). 3. 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. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. A client has been admitted with folic acid deficiency anemia. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. b. Provide a between meal supplement to the client. The nurse is reviewing some clients' prescriptions. A skill for which the ap has received instruction the - Course Hero c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. 2. a. Auscultate breath should at least ever 2 hr 3. Triage and assign color-coded tags to each client. Incorrect: Moistening the dentures will ease insertion. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. 1. c. Review another client's similar surgical experience Turning off continuous tube feeding to reposition a client, then turning the feeding back on. We do not know the extent of her injuries based on what the option tells us. 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. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 d. Services are centered in long-term care facilities, a. Delegate 2 nurses to work with the client. TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . Complete blockage of the large intestine. Relief of urinary retention Which region of the tRNA pairs with mRNA? b. Allow families unlimited visitation around the clock to meet their schedules. Removing the client's dentures A nurse instructs a female client about collecting a midstream urine sample. Sudden attacks of sleep 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. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. a. The women's health charge nurse is making assignments for the next shift. 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. In which situation should the nurse consult the client's advanced directive? 2. Change the subject when the client behaves defiantly 55. 1, 3 & 5. Which of the following sites should the nurse plan to use to obtain the blood specimen? The RN with 2 weeks' experience on the postpartum unit. 1. Compartment syndrome could be developing which can impede circulation and cause nerve damage. Correct: The client has the right to be involved in the decision making of their care. This could cause a medical emergency. This is a task that can be delegated to the LPN/LVN. Where on the body is each type of skin found? d. Do you think crying will help? Select all that apply Which of the following statements should the nurse identify as an indication the client needs further teaching? A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). IV of D5 NS at 75 mL/hour with a 20 gauge catheter. Which of the following actions by the nurse is considered an indirect nursing care activity? c. Measurement of residual urine after urination 2. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. If the client is unstable, the nurse would retain the role of measuring the vital signs. 2. The client is reporting anxiety, discomfort, and a feeling of bloating. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound Incorrect: The nurse is responsible for monitoring a client. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. a charge nurse is making client care assignments for the day. which American Sickle Cell Anemia Association 2. b. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? The last client would be the one needing dietary education. leadership management of care nurse on unit is providing care for group of clients. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. Ask the primary healthcare provider to suggest the best oral care procedure. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. Which of the following actions is the nurse's priority? To confirm the placement of the NG tube 3. d. Droplet, d. Bend at the knees when picking up an object, 98. 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. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a Oral surgeon Which of the following actions should this nurse take? Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. a. Solved A charge nurse is making client care assignments. | Chegg.com b. Place the client in a lateral position b. The unit is short one staff member and will receive a nurse from the medical surgical unit. Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? 3. a. b. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. d. Counting radial pulse A nurse is caring for a client who has emphysema and has difficulty with mobility. There are a total of 10 adult clients. Which tasks should the charge nurse delegate to the nursing assistant? 2. 4. 1. A nurse is caring for an older client who is at risk for skin breakdown. Decide which choice fits best in the blank. Disconnect client's nasogastric (NG) tube suction to allow ambulation. 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. M2.4 Making Client Care Assignments - GECC.pdf - Course Hero Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. A nurse receives a client care assignment from the charge nurse that he believes is unfair. Incorrect: The RN is responsible for teaching. The nurse should call for immediate help so that a safe care environment is maintained for all clients. Gathering needed equipment and supplies is within the scope of duties for the UAP. Which of the following is the priority action by the nurse? The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. a. Clarification The LPN can monitor the wound and provide care to the PEG insertion site. d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. 1. Speak to the UAP first and then decide if a between meal supplement is needed. d. Proceed with the preparation of the patient's surgical procedure, 15. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. Focus on the client's present circumstances instead of his personal stories A nurse is developing a plan of care for a client who does not speak the same language as the nurse. 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. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? A post-cardiac catheterization needing assistance with bedpan. 1. Incorrect: This group of clients needs specific teaching. a. a. Limit the client's fluid intake in the evening Inform the client of the need to avoid irritants such as carbonated beverages. c. Inform the surgical team to cancel the client's surgery Which client should the nurse assess first? 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. 2. Incorrect: This response overlooks a potentially severe problem. Furosemide 40 mg PO q.d. It would not be appropriate to overload this new employee with extra work. c. Complete an incident report 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. a. assignmentcafe.com - A charge nurse is making assignments for nursing 1. 3. b. Observe the client before taking further actions In what order should the nurse see the clients? c. Face shield d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. These are appropriate tasks for an UAP to complete. Select all that apply c. Depression Which preoperative prescription should the nurse question? b. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. d. Respite care is a continuation of psychological support after a family member dies. One important aspect is encouraging the flow of ideas between management and staff members. Which of the following actions should the nurse take? A charge nurse is making client care assignments. b. 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. b. Lisinopril 20.0 mg PO daily Incorrect: The RN is responsible for assessment and evaluation. Speak to the UAP to determine what happened with the feeding. Teach caregivers memory enhancement aids. d. Remove and reinsert the NG tube, a. This is outside the scope of practice for the LPN/LVN. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? c. Lock the medication in a room and finish preparing it after returning from the emergency Correct: A LPN should be able to care for a client with arthralgia who requires pain medication on a regular schedule and is receiving warm compresses. c. I will make sure my visitors smoke outside . a. b. Teach the UAP to change surgical dressings. c. I will begin upon the client's admission to the facility 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. a. Documentation is a communication tool for the interprofessional health care team. 3. Stand directly in front of the client Explain administration is demanding a decreased overtime. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. A client with diabetes admitted for debridement of a foot ulcer. 1. Because the charge nurse observes and weighs . A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. 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.