a charge nurse is making client care assignments

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. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. d. Remove tea and coffee from meal trays, b. It is not a routine task. The primary healthcare provider may have suggestions but this is not the best first action. a. 3. b. I can detect the presence of carbon monoxide by a metallic odor b. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. Which of the following actions should the nurse take? c. Review a low-sodium diet for the client who has hypertension 2. 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). 4. A charge nurse is making client care assignments. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. Gown Incorrect: This is not completely practical for everyone. Correct. What interventions can the nurse delegate to the LPN/VN? This would be out of the UAP's scope of practice. a. 4. A nurse is preparing medication for a client when another client has an emergency. Of my three brothers and sisters, my sister Giselle has the best sense of humor. Once the client is stable, the UAP could perform this task. The nurse voices his concern to the charge nurse. 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. b. 4. a. b. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. Oral surgeon c. Open the right flap with the left hand Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. c. Providing anticipatory guidance to a client in crisis 2. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. 4. If a sentence is already correct, write CCC. b. 6. Nothing by mouth (NPO). The client post PEG placement is stable. c. Distended bladder A nurse is assessing a client at a follow-up clinic for acute low back pain. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Speak to the UAP first and then decide if a between meal supplement is needed. d. Anger, b. 4. Soaking the dentures in hot water 1. 2. The situation should be explored before bringing the supervisor in on the situation. What information should the nurse include? 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. c. I will make sure my visitors smoke outside Handoff and Nursing Report Sheet. 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. 4. Which of the following types of communication breakdown does this response represent? The client is apparently stable and does not require any advanced assessment skills or specialized care. c. Initiate a liquid diet for the client Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. 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. Changing a colostomy bag. This stage involves constructive efforts on the part of the group members (Select all that apply.) Select all that apply. Ask the float nurse, "Have you been drinking?" Which of the following actions should the nurse take? b. c. The client's culture Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. c. 214 d. Counting radial pulse The charge nurse should notify the nursing supervisor who will seek additional staff. 4. Document current functional status assessment A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. d. Transporting a cerebrospinal fluid specimen to the lab Which of the following actions should the nurse include in the plan? We do not know the extent of her injuries based on what the option tells us. b. Which clients should be assigned to the CNA? Incorrect: The concern here is the client being fed their meal. 2. A nurse instructs a female client about collecting a midstream urine sample. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? Which of the following actions should the nurse take? 3. 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. To confirm the placement of the NG tube Providing hygiene care to a client who is HIV positive e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. Receive report from the emergency department (ED) on a new client. 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? Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. Client scheduled for breast reconstruction after mastectomy. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. The nurse is responsible for the assessment of all vital signs of post-op clients. Denial c. Raised toilet seats 2. 4. 4. d. I have a set of my brothers' crutches in the basement I can also use, a. Which of the following actions is the priority for the nurse to include in the client's plan of care? The nurse on a large surgical unit needs to evaluate several clients returning from procedures. c. Palpating for pedal edema What task would be best to assign to the LPN/LVN? Change the subject when the client behaves defiantly 3. These are appropriate tasks for an UAP to complete. 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. Which client can be assigned to the LPN? Compartment syndrome could be developing which can impede circulation and cause nerve damage. Have a pen and paper handy The nurse should assess the client for which of the following expected outcomes after catheter removal? and 16 g of fat. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? Incorrect: The RN is responsible for collecting data. Alert all off-duty personnel to stand by in case of call- in. Determine which personnel could be sent to the command center. 2. Incorrect: This response overlooks a potentially severe problem. Focus on the client's present circumstances instead of his personal stories Which of the following actions should the nurse take prior to administering the tube feeding? It happened so long ago - just get over it!" 3. Take several shallow breaths during the procedure Vital sign measurement The nurse is using which of the following therapeutic communication techniques? Following the teaching, the nurse asks the client to describe one physical effect. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. a. This client is not the nurse's first priority. 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. c. Physical therapist If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. b. This is not a situation that requires the LPN to notify the primary healthcare provider. d. 216, 22. c. Check to see if the suction equipment is working There is a possibility that a hypothermia blanket may be prescribed. 4. 2. Select all that apply. 208 d. Social conversation, a. Plan all care to be completed in early morning to allow afternoon for visitation. Incorrect: The wash cloth is placed in the sink to prevent the dentures from breaking if they are dropped. c. Hold an object away from her body as she lifts it Discussing a client's surgical procedure with the nurse manager A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? Client prescribed antibiotics for cystitis. The client attempted to climb over the side rails and fell a. Narrative interaction The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. 1. It is quicker to administer medications intravenously in the hospital In option #4, we see that the leading zero is missing from the prescription. A two-hour limit on visits discourages quality time. b. Dr. Frankenstein had seen himself as a(n) ?\underline{? Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. b. 3. A nurse who is breastfeeding her 4 month old. Use the tablet's packaging to pick it up from the counter 4. 1. Electric cords behind the furnitrure Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. Patient safety must remain the priority. Write the letter of your choice on the answer line. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. Sit side-by-side with the client 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. 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. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Which of the following statements should the nurse make? a. Estimate the number of Calories in two tablespoons of peanut Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. The charge nurse is making client assignments for a neuro-medical floor. To focus on effective learning with this client, which of the following interventions should the nurse use? Besides yourself, there are the following staff: Your unit has 12 beds. This can prevent harm to client's. They are more direct when discussing issues Incorrect: There are situations in which the LPN must notify the primary healthcare provider. Incorrect: Informing is the same thing as teaching. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. 4. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. c. Complete an incident report Which of the following instructions should the nurse give to the client prior to the procedure? Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. 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. The nurse can also accept the assignment; however, that nurse should document professional concern for client safety and the process you used to inform the facility (manager) of your concerns. Incorrect: The nurse is responsible for monitoring a client. 3. 1. 4. a. The nurse suggest that the family might need to respite care services. c. Irrigating a client's abdominal wound This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. Incorrect: This again is assessment which is the role of the RN only. 1. Performing passive range of motion (ROM) on the client with right sided paralysis. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. This schedule may leave some clients too exhausted to visit with family. Serve food that have a hot/cold balance a. Who should the nurse see first? Based on this information,what should the nurse do? 3. *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. b. Have another nurse finish preparing the medications b. This determination is needed to assure client safety is being considered. A family member requests that the nurse apply restraints. 5. A nurse enters an older adult client's room to insert a saline lock. a. Which group of clients should she assign to the medical surgical nurse? Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. Which nursing intervention should the charge nurse implement? (a) HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010\mathrm{HCN}(a q)+\mathrm{H}_2 \mathrm{O}(l) \longrightarrow \mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{CN}^{-}(a q); K=4.9 \times 10^{-10}HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010 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. 4. a. I will keep my walker at the end of my bed Inform the client of the need to avoid irritants such as carbonated beverages. c. I'll need to shave the hair off the skin where I place the electrodes a. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? 3. Remember airway, breathing and circulation (ABCs). Measuring vital signs 2. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. 2. Thoracentesis reporting shortness of breath. This is outside the scope of practice for the LPN/LVN. 1., 3, & 4. Assist a client to ambulate using a gait belt Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. 4. Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. Incorrect: Moistening the dentures will ease insertion. Irrigate a client's ear canal. 2. d. Sleep apnea a. 2. Drag and Drop the items from one box to the other. 4. Placing the traction weights on the bed to transfer the client to x-ray. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. Which of the following explanations should the nurse provide? The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back). The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. Which of the following is the priority action by the nurse? The client was lying on the floor next to his bed Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. 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? A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. Feed the client after warming the food. 1. Assist ait to ambulate using a gait belt. The nurse could definitely be part of the committee. c. Gender Drag and Drop the items from one box to the other. 1. is a new graduate in orientation. b. Incorrect: Although this nurse may be accustomed to caring for clients in acute situations requiring a higher level of care, this nurse is not familiar with caring for clients with preeclampsia. This service focuses on teaching the primary caregiver to meet the client's needs It contains a blank and is followed by four answer choices. 2. 3. Gathering needed equipment and supplies is within the scope of duties for the UAP. b. Review the action of insulin therapy 4. 4. Sudden attacks of sleep c. Washes and rinses her hands for 10 seconds, 11. Incorrect: What seems to be going on with this client? This stage is when testing occurs to identify boundaries of interpersonal behaviors Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. 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. a. 1. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. 4. Hold the penis at a 30 to 45 degree angle when inserting the catheter The third client that should be assessed by the nurse is the client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. 2. Select all that apply. Anyone over age 18 can have an Advanced directive. a. 1. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Feed a client that had a stroke 3 months ago. 3. Although this will require assessment, this client is not the priority at this time. Nurses Report Sheet Template Nicu. b. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. Cardiac catheterization with a decreased pedal pulse below insertion site. 3. a. a. Wrapping the dentures in tissue while the client sleeps 1., 2., 4., & 5. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. This service began with the client's admission to the hospital It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home), 45. The client states, "I am so nervous about what the doctor might find during the test." 4. 3. Nurses dependent on drugs or alcohol can harm clients. A client receiving a blood transfusion that requires monitoring. Serve milk products separately from meals 3. c. Include intact skin at the wound edges in the culture 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. An increased temperature will have a direct effect on the brain's metabolism and function. b. This documentation should go to your manager. c. Use an aggressive tone of voice 1., 2., 3., & 4. The nurse should do this when repositioning is needed. Simply accept the assignment since overtime is mandatory. The best practice committee utilizes current research in their recommendations. There may be a good reason that the tray was not served. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? Pick up the tray and tell the UAP that they didn't do a good job. Feedback Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. The nurse asks why the client needs to know this. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. A nurse is planning to discharge a client who has quadriplegia to his home. Client two days post percutaneous endoscopic gastrostomy (PEG) placement. A nurse in a long-term care facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontinence. 4. Which of the following info should the nurse include? Initiate oxygen and IV lines as needed. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. Obtain a client's consent a. Refuse the assignment, being prepared for disciplinary action. A nurse is filling out an incident report after finding a client lying on the floor. 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. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. c. Helping the client into the shower Which referral would most likely be appropriate for the nurse to make? 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. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. b. Moistening the dentures prior to inserting them c. One nurse lifting the client's legs as the client uses a trapeze bar A nurse is teaching a client about carbon monoxide poisoning. A nurse is caring for an older client who is at risk for skin breakdown. Two nurses lifting the client under the shoulders

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