a charge nurse is making client care assignmentscheckers chili recipe

Check environment for potential safety hazards. a. Feed a client that had a stroke 3 months ago. This will take a lot of time, and the charge nurse can get the information needed from the nurses caring for the clients in order to make appropriate client assignments for the next shift. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. This is normal for clients with hemorrhoids. 1. Channel Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. What information should the nurse include? d. I'll put a heating pad on my ankle at bedtime tonight, d. I have a set of my brothers' crutches in the basement I can also use (the client should not use crutches that belong to someone else; the crutches must fit body dimensions), 17. The unit is short one staff member and will receive a nurse from the medical surgical unit. a. Clarification In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. Incorrect: It is out of the UAP's scope of practice to administer medication. A nurse is creating a discharge plan. 1. They are likely to wait for others to initiate conversation Provides safe, effective delivery of patient care in . The supervisor can only send one LPN/LVN to the floor. b. I will begin once the client's discharge order is written Client to receive dietary education. This protein is released by cells in the stomach. A nurse is caring for a client who states, "I have got to get out of this hospital! The cleint's family asks the nurse for info about this type of care. c. Inform the surgical team to cancel the client's surgery Which of the following instructions should the nurse include? Take several shallow breaths during the procedure This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. Which of the following infection-control precautions should the nurse use caring for this client? 3. 1. Warm the feeding solution to the body temperature Measuring vital signs 1. Incorrect: This prescription is written correctly. A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. 4. Explore the client's feelings The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Which of the following statements should the nurse identify as an indication that the client needs further teaching? Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. A client on a surgical unit frequently quarrels with the staff. I'm drinking plenty of fluids." The nurse should not be assigned to provide care if impairment is suspected. Initiate oxygen and IV lines as needed. Once the client is stable, the UAP could perform this task. c. I will complete the smoking cessation program I started Moistening the dentures prior to inserting them 1., 2., 3., & 4. 4. (Select all that apply.) d. When asking if the client took his medications this morning, 82. Show client who has conjunctivitis how to clean the eyes. 8. The facility has insurance that will cover malpractice litigation 4. If you give the magnesium citrate, which is a laxative, what will happen? 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. 2. The cause of the fall may be cardiac, but the question does not indicate this. e. The urge to move the legs when trying to sleep, 66. b. b. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). d. Water heater temp 54.4 C (130 F) The nurse would then start the 24 hour urine once the 1st void has been discarded. There are a total of 10 adult clients. Dentures should be stored in a denture cup. 1. b. The nurse should assess the client for which of the following expected outcomes after catheter removal? Client with chronic emphysema experiencing mild shortness of breath. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. 1. a. This is likely cholelithiasis, which will need to be checked out. The nurse did not trust the new UAP. 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. The other options may be correct but are not the best first action. 2. d. Do you think crying will help? 1. b. Verbalize understanding of how the client feels Obtain a bedside commode for the client's use C-section planning discharge, postpartum infection, mastectomy. 4. Which of the following statements should the nurse identify as an indication the client needs further teaching? Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. Risperidone .5 mg PO daily a. Elicit info from the client 2. 2. b. If a sentence is already correct, write CCC. 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). The nurse considers various ideas submitted by team members. The nurse who made the medication error should take which of the following actions first? a. Gloves 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. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Change the subject when the client behaves defiantly The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. 1., 2., 3., & 4. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. b. Accept the client's behavior as confrontational. Remember, pick the killer answer first! Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. a. (Select all that apply.) c. Face shield Which of the following interventions should the nurse include? b. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures A nurse is caring for a client within the intimate zone of the client's personal space. 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. This client is not the nurse's first priority. 2. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. c. Do not eat or drink anything the morning of the test Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. 3. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? Discussing a client's surgical procedure with the nurse manager 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. 1. Lumbar puncture reporting a headache. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. 2. a. I will begin 48 hr before the client's discharge Autonomy vs shame and doubt d. Discard the prepared medications and begin again after returning, d. I will wear synthetic clothing and woolen socks when using my oxygen (woolen and synthetic materials can generate static electricity and oxygen is a flammable gas - the client should wear cotton), 73. b. 4. Besides yourself, there are the following staff: Your unit has 12 beds. Incorrect: If a report is made to the BON, it should be a factual documentation of specific events and actions, not a statement of impairment. b. Dons gloves to empty a urinary drainage device Ask client if they are eating small, frequent meals. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? 1. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? d. I will place a bath seat in my shower to use when I bathe, b. Discuss the competency of the surgeon a. I'll sit with my knees lower than my hips d. Droplet, d. Bend at the knees when picking up an object, 98. Both of these clients are terminal. Pernicious Anemia Society c. Explain the risks and benefits of the procedure Which action by an unlicensed nursing assistant would require the nurse to intervene? It is within the LPNs scope of practice to administer antibiotics. 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. A nurse is caring for a client who is about to have a colonoscopy. The nurse caring for the client at the time of death requests organ donation Which of the following actions should the nurse include in the plan? 3. d. Go to employee health services, b. d. Custard c. Why are you crying? Delegate 2 nurses to work with the 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? Perform the Heimlich maneuver A nurse has completed an informed consent form with a client. 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. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." 4., & 5. a. If the volume of the bucket is 4.67L4.67 \mathrm{~L}4.67L, how many grams of gold are there likely to be in 2.381032.38 \times 10^32.38103 cubic feet of soil? Reach around the pack and open the top flap away from the body The client is getting better. Administer tap water enemas until clear at 6 AM. Focusing Also, making a surgical bed for the client returning from surgery is a basic procedure. A nurse is providing discharge teaching for a client who requires home oxygen therapy. Documentation is a communication tool for the interprofessional health care team. 1., 2., & 5. 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. Elderly clients have special fluid and electrolyte issues after a fall. A nurse is caring for a client who has a wound infection. 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. A client with COPD complaining of shortness of breath on exertion. Clients over the age of 65 must have a saline lock according to facility policy Which clients should be assigned to the CNA? During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. c. Review another client's similar surgical experience b. In what order should the emergency department triage nurse send these clients to a room for treatment? Bargaining 1. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department Provide positive feedback to the UAP. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Prior to turning feeding back on, tube placement needs to be verified. They are more direct when discussing issues Nurses Report Sheet Template Nicu. Measure urine output when client voids. Did you recognize ureterolithiasis as "kidney stones"? CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. 4. (SATA) -Bathing a client who had an amputation 2 days ago. Report of feeling pressure c. Changing a dressing 5. c. Washes and rinses her hands for 10 seconds c. Depression Four clients arrive for their appointment at a diabetic clinic. The charge nurse is preparing the patient care assignments for the day shift, assigning clients to a LPN/LVN and a certified nursing assistant (CNA). 1. A list of current medications is sent to the facility. Use adult diapers to prevent frequent clothing changes 2. c. Behaving defensively 1., 2., 4., & 5. Select all that apply Disconnect client's nasogastric (NG) tube suction to allow ambulation. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Which of the following actions should the nurse take? a. 4. It involves people who are constantly changing-their conditions improve and deteriorate, they're admitted and discharged, and their nursing needs can change in an instant. b. Wash the tablet off with alcohol and place it in a clean medicine cup 4. Incorrect: Is phantom pain something that is unexpected with above the knee amputations? Only a plain enema or soap enema can be given by the UAP. c. 214 4. Aplastic anemia is a rare but serious condition. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. A nurse is caring for a client who is scheduled for an elective surgical procedure. To focus on effective learning with this client, which of the following interventions should the nurse use? This includes medication enemas. The charge nurse on each unit needs to prepare a list of possible discharges or transfers to be given to the appropriate primary healthcare providers for further action. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. c. Assist the client to the floor and begin mouth-to-mouth Decreased RBC production 4. Focus on the client's present circumstances instead of his personal stories 1. A nurse is planning to discharge a client who has quadriplegia to his home. Which of the following actions indicates that the AP understands the principles of infection control? Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. 6. Sudden attacks of sleep What is the appropriate assignment? d. Establishing the client's secondary medical diagnoses, b. Offer to take one of the clients. Obtain a client's consent c. Initiate a liquid diet for the client Symbolic communication a. Besides yourself, there are the following staff: Your unit has 12 beds. a. Auscultate breath should at least ever 2 hr 3. 2. c. I'll need to shave the hair off the skin where I place the electrodes 2. A nurse is preparing a sterile field. 1) Bathe a client who had an amputation 2 days ago. Which task would be appropriate for the nurse to assign to an LPN/VN? 2. 4. The third client would be the one needing a dressing change. b. c. Changing a dressing, 78. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? b. Emptying a urinary drainage bag for a client who has pneumonia A nurse is teaching a client who has a history of falls about home safety. Client who is a diabetic experiencing diabetic neuropathy. b. 2. Encourage client to express grief related to loss of independence. c. Discard any residual gastric contents b. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. *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. Documentation of what occurred, and the client's assessment is required in the nurse's notes. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. Monitor for GI upset 30 minutes after meals. 3. butter, which contain 16 g of protein, 7 g of carbohydrates, 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. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? "The client is weak on the right side, so please assist the client with dressing . Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. 1. A nurse is completing discharge teaching with a client. Which of the following approaches should the nurse use when using confrontation? 2. 2. a. The client post PEG placement is stable. d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. These are appropriate tasks for an UAP to complete. A lack of rapid eye movement (REM) sleep 3. This service focuses on teaching the primary caregiver to meet the client's needs Besides, a charge nurse is a leader on the floor and should possess . Which of the following statements should the nurse identify as an indication that the client requires further clarification? Thus, the tasks involve successful management of the charge nurse's responsibilities. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night."

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