Provide an adaptive feeding device for the client, 50. 1. A goal for this client is to use proper body mechanics at all times. butter, which contain 16 g of protein, 7 g of carbohydrates, a. Announce the new changes at the monthly staff meeting. 4. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. a. Bathtub with rails Which of the following explanations should the nurse provide? a. d. I will begin once the client's insurance company approves discharge coverage, b. Correct: The UAP can remind the client to do something that has already been taught by the nurse. 2. Charge Nurse - RN | Fresenius Karriere Measuring vital signs b. Urinary frequency for several days 2. A nurse is caring for a client who is postoperative following an appendectomy. Tenderness over the symphysis pubis 3. *HURST REVIEW Qbank/Customize Quiz - Leadership Lumbar puncture reporting a headache. a. A nurse is caring for an older client who is at risk for skin breakdown. d. Reduced blood viscosity, a. Auscultating heart sounds A nurse is preparing to move a client who is only partially able to assist up in a bed. Estimate the number of Calories in two tablespoons of peanut Report of feeling pressure Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. b. Could you try contacting a support group Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). c. Washes and rinses her hands for 10 seconds, 11. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. Respite care provides holistic support and care for a client who is terminally ill Remind the client that a signed informed consent form is a legally binding document Teaching insulin self administration cannot be delegated to the LPN. An experienced nurse would be assigned to this unstable client due to the possibility of a reoccurring hemorrhagic stroke resulting from the client's hypertension. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. Solved A charge nurse is making client care assignments. | Chegg.com Incorrect: The client does need to be cleaned out below the tumor so that the primary care provider can see the area of concern and complete the biopsy. 3. This service began with the client's admission to the hospital b. A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. The nurse voices his concern to the charge nurse. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. Four clients arrive for their appointment at a diabetic clinic. a. I wish I didn't have to attach the electrodes to my skin Which of the following tasks should the nurse delegate to assistive personnel (AP)? The client is getting better. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Remember, pick the killer answer first! Incorrect: This group of clients needs specific teaching. d. Establishing the client's secondary medical diagnoses, b. Compartment syndrome could be developing which can impede circulation and cause nerve damage. d. Identifying the client by name when making a referral for home health services, 30. b. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? b. Incorrect: This client is exhibiting early signs of increased intracranial pressure. Include any relevant statements the client made about the ulcer 2. Select all that apply 1. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. 4. A nurse is caring for a client who has a mental health disorder. This client needs careful monitoring and specialized care. It would not be appropriate to overload this new employee with extra work. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. Speak to the UAP first and then decide if a between meal supplement is needed. Point out inconsistences in the client's behavior The client asks about his medications and their effects. b. assignmentcafe.com - A charge nurse is making assignments for nursing 3. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Clients over the age of 65 must have a saline lock according to facility policy Perform range of motion (ROM) exercises at least 2-3 times daily b. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? 1. 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. Encourage client to express grief related to loss of independence. What is the most appropriate action by the charge nurse? Observe the client before taking further actions Initiate oxygen and IV lines as needed. A nurse is planning care for a female client who has an indwelling urinary catheter. b. Discussing a client's surgical procedure with the nurse manager A nurse is completing discharge teaching with a client. They are likely to wait for others to initiate conversation c. Malpractice Which of the following findings indicates that the client is meeting this goal? 3. Call the family of a client suffering from dementia to discuss long term care placement. For which of the following tasks should the nurse wear protective eye equipment. NURSING ASSIGNMENT- delegation in the workplace | Studymonk a. _________________ (magnanimous), a. generous Phone report to the receiving nurse. Hanging a new bag of total parenteral nutrition (TPN). and 16 g of fat. Which of the following communication techniques should the nurse use during this phase? He charge nurse is making client care assignments for the evening shift. The client receives home health care and spends most of his day in a reclining chair. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. What was the rationale for this plan? 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. A nurse has completed an informed consent form with a client. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. In which harmonic number n is the string vibrating? The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Select all that apply e. The urge to move the legs when trying to sleep, 66. 5. 2. b. 5. b. I will begin once the client's discharge order is written 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. Which of the following should the nurse identify as an interpersonal variable? c. I will place an area rug at the entry of my bathroom A client with an above the knee amputation reporting phantom pain. 3. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. A nurse is caring for a client who is scheduled for an elective surgical procedure. c. Leave a nightlight on in the client's room Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. A nurse is having difficulty caring for a client due to variables affecting the communication process. 3. What action should the nurse implement first to ensure client safety? Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. 8 Steps for Making Effective Nurse-Patient Assignments Correct: The unlicensed nursing assistant should not turn tube feedings off or on. It is not a routine task. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. c. I suggest you talk with a mental health counselor about your concerns b. It's just not the right time for me to do this Correct: Traction should never be relieved without a primary healthcare provider's prescription. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. d. Decreased calcium excretion, c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown), 27. Assessing this client and titrating the diltiazem requires the skills of an RN. Select all that apply. The client says, "go away, no one can help me." Assist a client to ambulate using a gait belt. Incorrect: It is out of the UAP's scope of practice to administer medication. A nurse who is 10 weeks pregnant. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. d. What have you done in the past to cope with this issue? Evaluate pain relief after narcotic administration. 4. Correct: The client may be experiencing a myocardial infarction and requires further assessment. Once the client is stable, the UAP could perform this task. Incorrect: The concern here is the client being fed their meal. The LPN/LVN can gather data, but the RN is responsible for validating and interpreting that data to assess and evaluate. 4. b. I will try to anticipate and avoid stressful situations when possible Which of the following actions should the nurse take to assist the client with feeding? Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. a. The nurse is responsible for the assessment of all vital signs of post-op clients. 4. Administering IV pain medication to a two day post op client. 1. Ask the primary healthcare provider to suggest the best oral care procedure. The RN with 10 years' experience pulled from the ER. Reach around the pack and open the top flap away from the body, 53. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. Which prescription should the nurse question and have corrected? Monitor client for pain while assisting with ambulation. 2. The client's self-report of pain severity, 88. b. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. d. The nurse has already considered alternatives to restraints, a. Select all that apply A nurse receives a client care assignment from the charge nurse that he believes is unfair. 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. A nurse is providing discharge teaching for a client who requires home oxygen therapy. Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? 4. Pick up the tray and tell the UAP that they didn't do a good job. 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. Explore the client's feelings a. b. b. Vital sign measurement Discuss the assignment with another LPN. Determine which personnel could be sent to the command center. 4. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. b. I'm so sorry to hear about this b. Correct: An LPN should be assigned clients with predictable outcomes. d. There is no blood return when the tubing is aspirated, c. I will cover the catheter so he cannot see it (using stockinette or clothing to cover the IV insertion site is an appropriate distraction technique and might steer the client's attention away from the catheter), 62. Tenderness over the symphysis pubis These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. 1. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? Select all that apply Only a plain enema or soap enema can be given by the UAP. What client should the nurse assess first? the nurse responds, "don't worry, no one will harm your family." Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu 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. 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. Place the client in low Fowler's position Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. There is a possibility that a hypothermia blanket may be prescribed. A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. 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. c. Decreased sodium excretion 1. 2. 3. The LPN/LVN can reinforce teaching. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. 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. 3. The area surrounding the insertion site feels warm to the touch A client diagnosed with rheumatoid arthritis needing discharge teaching. Draining the colostomy bag on a client with diarrhea. 4. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. }? benefactor of the world. The best practice committee utilizes current research in their recommendations. Nothing life threatening. 3. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. There are a total of 10 adult clients. 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. A charge nurse is making client care assignments. Patient safety must remain the priority. 1. 2. The client asks the nurse, "Why do I need that? Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? There are a total of 10 adult clients. Place the client in a lateral position Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. However, there are some basic points which are standard among all facilities. Assist a client to ambulate using a gait belt. Which task would be appropriate for the nurse to assign to an LPN/VN? 3. The supervisor can only send one LPN/LVN to the floor. This is normal for clients with hemorrhoids. 4., & 5. A list of current medications is sent to the facility. What is the best first action for the nurse to take in order to achieve this goal? Which of the following tasks should the charge nurse reassign to a licensed nurse? Collecting I & O totals for unit clients at the end of shift. 3. 5. 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. Talk to each nurse about concerns related to assigned clients. 1. Where on the body is each type of skin found? Although this will require assessment, this client is not the priority at this time. A Charge Nurse Role: The Ultimate Guide. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. They are able to manage tasks related to basic care. 1. It contains a blank and is followed by four answer choices. c. Visual observation for nonverbal signs of pain Relax her abdominal muscles when she lifts an object Of my three brothers and sisters, my sister Giselle has the best sense of humor. Which response by the LPN is appropriate in response to the inappropriate delegation? The RN with 8 years' experience in the Intensive Care Unit. Which of the following types of torts has the nurse committed? b. I can detect the presence of carbon monoxide by a metallic odor Client with ureterolithiasis who requires frequent PRN pain medication. c. Check to see if the suction equipment is working Hearing loss Accept assignment, documenting personal concerns regarding work conditions. c. Foot 3. A charge nurse is making assignments for an oncoming shift. A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. a. 2. 3. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. The nurse would then start the 24 hour urine once the 1st void has been discarded. 1. 3. 1., 2., 3., & 4. The spouse can rescind the Advance Directive if the client becomes unresponsive. Obtain a urine specimen from a client with an indwelling Foley catheter. b. Numbness Anyone over age 18 can have an Advanced directive. Which of the following client statements indicates an understanding of the procedure? 212 Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? 4. The infusion rate has stopped but the tubing is not kinked 2. The command center is the only reliable source of information and will make any decisions needed by hospital personnel.
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