4. Performing passive range of motion (ROM) on the client with right sided paralysis. The facility has insurance that will cover malpractice litigation d. Determine if the client uses hearing aids, b. b. 4. A client post pacemaker insertion, awaiting discharge instructions. Encourage client to express grief related to loss of independence. 2. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Select all that apply. d. Move to the opposite side of the pack and open the fourth flap, 54. Hanging a new bag of total parenteral nutrition (TPN). Which of the following statements should the nurse identify as an indication the client needs further teaching? Nothing by mouth (NPO). Notify the primary healthcare provider of transfer completion. 2. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". a. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Which of the following approaches should the nurse use when using confrontation? Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. 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. d. Talk with the client's partner, b. Which clients should be assigned to the CNA? Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. 4. 3. What would the approximate meaning of photoelectric be, based on these root words? The charge nurse should notify the nursing supervisor who will seek additional staff. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. What is the best response by the charge nurse? The nurse should assess the client for which of the following expected outcomes after catheter removal? 3. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. & 5. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. 3. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. d. Bend at the knees when picking up an object, 99. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. The client then states, "I have changed my mind and do not want to have the procedure done." Which of the following actions is the nurse's priority? When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? Elderly client admitted 30 minutes ago with reports of constipation for four days. 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. b. 4. The nurse should initiate a referral with which of the following members of the interprofessional health care team? Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. A two-hour limit on visits discourages quality time. a. 3. Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. c. Gender 1. 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. b. Urinary frequency for several days Teaching about a medication When determining if the client is eating a well-balanced diet Which of the following interventions should the nurse include? 1. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. 1. b. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. 1. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day 2. & 4. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. A nurse is caring for a client in the orientation phase of the nurse-client relationship. There are a total of 10 adult clients. Turn on local news for up-to-date information on the train derailment. 1. Determine caregiver's stress level and coping strategies. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Incorrect: This would unnecessarily alarm the clients. 4. 1. A nurse is working with an assistive personnel (AP) to Select all that apply d. Droplet, d. Bend at the knees when picking up an object, 98. c. Industry vs inferiority Which of the following findings should the nurse identify as a safety risk? b. Which of the following infection-control precautions should the nurse use caring for this client? 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. a. Gloves A nurse is orienting a new assistive personal (AP) to the unit. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. The client is considered unstable until assessed by the nurse. A nurse is caring for a client who has emphysema and has difficulty with mobility. Which prescription should the nurse question and have corrected? The charge nurse asks the nurse who works in a state where mandatory overtime is legal to work an additional 8 hours of mandatory overtime. Select all that apply Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to withdraw consent therefore the surgeon should be the one notified of the request), 14. Document what the nurse believes was the cause of the ulcer development The client post PEG placement is stable. A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. d. Highly concentrated urine, 91. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. 3. b. c. Provide the client with a diet high in protein Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. A client requesting assistance packing his belongings for discharge later today., It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. 2. d. I will place a bath seat in my shower to use when I bathe, b. 1. 4. Speak to the UAP to determine what happened with the feeding. The nurse who made the medication error should take which of the following actions first? 3. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. A. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. d. Lean back in the chair, b. 6. c. Paraphrasing Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. This client will also need a lot of education regarding anti-rejection medications. 2. 1. This would be out of the UAP's scope of practice. c. imaginary The nurse could definitely be part of the committee. Notify the charge nurse of the observations. c. Hold an object away from her body as she lifts it 1. A nurse is caring for a client who expresses anxiety about his impending surgery. a charge nurse is making client care assignments for the day. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER c. We administer all medications intravenously to clients in this unit 3. 5. b. Explain oral hygiene to a client receiving chemotherapy Triage and assign color-coded tags to each client. Compartment syndrome could be developing which can impede circulation and cause nerve damage. 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. Incorrect: It is out of the UAP's scope of practice to administer medication. 2. (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 Airborne 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. 1., 4., & 5. Incorrect: This group of clients needs specialized care. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department b. c. I should purchase a carbon monoxide detector for my home Comatose client with end stage chronic obstructive pulmonary disease. butter, which contain 16 g of protein, 7 g of carbohydrates, So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. Speak to the UAP first and then decide if a between meal supplement is needed. b. 2. b. What is the most appropriate action by the charge nurse? The client should be assessed first to rule out respiratory difficulty and hemorrhage. 2. Serve food that have a hot/cold balance They are more direct when discussing issues b. The third client that should be sent back for treatment is the female client stating she has been raped. b. a. 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. 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. a. Reposition the client every 3 hr Refuse the assignment, being prepared for disciplinary action. This referral would be appropriate. & 3. 2. Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. In what order should the emergency department triage nurse send these clients to a room for treatment? b. 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. Client reporting epigastric pain and nausea after eating. 2. d. principal. Draining the colostomy bag on a client with diarrhea. 1. Which of the following tasks should the nurse delegate to AP? There may be a good reason that the tray was not served. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Try different methods of oral care on unresponsive clients to see what works best. Gather supplies to prepare room for isolation. 3. The UAP can assist clients with hygiene care, so it is within the scope of practice for the UAP to assist a client with a sitz bath for the postpartum client. 5. Remember airway, breathing and circulation (ABCs). 8. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. 2. M4 Client Care Assignment.pdf - Making Client Care c. Hallucinations at the onset of sleep, 65. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? c. Washes and rinses her hands for 10 seconds, 11. Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. 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. Include any relevant statements the client made about the ulcer Client eating a simple-carb snack due to weakness. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. c. The restraints should promote the client's safety and prevent injuries Initiate oxygen and IV lines as needed. Denial a. A client with an above the knee amputation reporting phantom pain. The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. In what order should the nurse assess assigned clients following shift report? Correct: Hot water may damage dentures so intervention is needed. The best practice committee utilizes current research in their recommendations. 3. The charge nurse on the postpartum unit is making assignments. Which of the following actions should the nurse take first? Allow families unlimited visitation around the clock to meet their schedules. However, providing care for missing teeth would also be within the LPN scope of practice. 1. 5. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). PDF 8 steps for making effective nurse-patient assignments Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. What task would be best to assign to the LPN/LVN? Assist the float nurse with the clients case. A Charge Nurse Role: The Ultimate Guide. b. I can detect the presence of carbon monoxide by a metallic odor A charge nurse is making client care assignments. a. Most of the following sentences contain errors in the use of modifiers and comparisons. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. Dexlansoprazole 30 mg PO daily. 4. 1. Autonomy vs shame and doubt 1. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. In the following sentences, circle each incorrectly used lowercase letter. Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. b. Check environment for potential safety hazards. 1. Which of the following tasks should the nurse delegate to assistive personnel (AP)? 3. Which of the following responses should the nurse make? Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 4. Schedule visiting times in two-hour increments so clients are not overwhelmed. This schedule may leave some clients too exhausted to visit with family. Place in priority order. b. Write N next to the nonessential clauses and E next to the essential clauses. A nurse is caring for a client who is scheduled for an elective surgical procedure. This includes medication enemas. If your reasons for refusal were client safety, nurse safety, or an imperative personal commitment, document this carefully including the process you used to inform the facility (nurse manager) of your concerns. d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago the nurse responds: "It must be very frustrating to encounter this kind of attitude." }? benefactor of the world. a. I'll urinate a little then stop Client one day post kidney transplant. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. b. he charge nurse is making client care assignments for the evening shift 1. When staff do not feel vested in any new process, there is a sense of underappreciation.
How To Install Fbprophet In Jupyter Notebook,
Is Sarah Marshall Related To Arthur Blank,
Alex Peters Prodigy Net Worth,
Concealed Carry Permit Onslow County, Nc,
Celebrities Who Have Had Corrective Jaw Surgery,
Articles A