Autonomy vs shame and doubt Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. Respite care provides holistic support and care for a client who is terminally ill 3. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. To remove gastric acid that might cause dyspepsia Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Which of the following infection-control precautions should the nurse use caring for this client? Which of the following physiological responses to prolonged immobility should the nurse expect? Placing the traction weights on the bed to transfer the client to x-ray. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. a charge nurse is making client care assignments for the day. Which of the following sites should the nurse plan to use to obtain the blood specimen? 3. b. Select all that apply. Select all that apply c. Hallucinations at the onset of sleep 2. a. 5. 3. Which of the following instructions should the nurse give to the client prior to the procedure? d. Social conversation, a. 1. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. c. Leave a nightlight on in the client's room c. The client was restless and trying to get out of the bed all evening 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. a. A client receiving heparin injections for deep vein thrombosis. d. Motor impairment, 84. A nurse who is on hormone replacement therapy. Fruity breath. 1. a. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. 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. 3. In order to reorganize staffing, the nurse manager should initiate which action first? Anyone over age 18 can have an Advanced directive. Which of the following actions should the nurse take first? The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. 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? Identify and assess each incoming client. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. b. Changing the subject 1. Remove all metal necklaces 2. There will likely be both physical and emotional injury that needs attention, which places this client third. Briefly assess every client. 3. 3. d. They disclose more personal information, a. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. 3. Provides day to day direction and supervision to assigned direct patient care staff. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? 3. The LPN can monitor the wound and provide care to the PEG insertion site. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. 1. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. 1. Making Client Care Assignment NUR 211: Module 4 Assignment Rationale: The patient is stable, she will need to teaching on self-care after a pacer insertion. Rewrite each incorrect sentence to correct the error. a. The nurse is using which of the following therapeutic communication techniques? The nurse is caring for four clients. 1. Encourage the client to be more cooperative. During exacerbation, the client will have many diarrhea stools. 1. Skill level and scope of practice of each staff member, Exit HESI (Actual hesi hints), EXIT HESI 2, Julie S Snyder, Linda Lilley, Shelly Collins. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Document current functional status assessment Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? A nurse is administering a cold therapy application to a client. Incorrect: The RN is responsible for assessment and evaluation of clients. 3. d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37. Which of the following responses should the nurse make? 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. 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. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. *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. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. d. Identifying the client by name when making a referral for home health services, 30. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. Incorrect: The nurse is responsible for evaluating a client. 4. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). Injuries from a motor-vehicle accident can be life threatening. 2. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. c. Palpating for pedal edema 2. Perform range of motion (ROM) exercises at least 2-3 times daily The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. 3. Documentation is a communication tool for the interprofessional health care team. a. Gloves 4. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. M2.4 Making Client Care Assignments - GECC.pdf - Course Hero Which of the following actions is the priority for the nurse to include in the client's plan of care? The best practice committee works to improve clinical practice based on current research. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. Which of the following should the nurse identify as an interpersonal variable? The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. b. What is the most appropriate action by the charge nurse? a. An experienced person who can research "best practice" regarding the issue is needed. Occupational therapist b. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. Incorrect: This is not completely practical for everyone. a. Clarifying 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). d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. a. 4. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. There are a total of 10 adult clients. 4. Incorrect: Atrial fibrillation places the client at risk for blood clots. Which region of the tRNA pairs with mRNA? A nurse is creating a discharge plan. which client would be an appropriate care assignment for this lpn? 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. 2. d. Wait to discuss the behavior in the presence of others, a. A nurse asks a client to share personal stories. What action should the nurse implement first to ensure client safety? The charge nurse is making client assignments for a neuro-medical floor. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Announce the new changes at the monthly staff meeting. The nurse should initiate a referral with which of the following members of the interprofessional health care team? Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. The client's self-report of pain severity 5. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. Assist a client to ambulate using a gait belt. Select all that apply. Reporting laboratory findings to a member of the client's family 4. ATI Leadership and Management Questions - Leadership Management of Care a. b. Verbalize understanding of how the client feels 4. Which clients should be assigned to the CNA? A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. In what order should the emergency department triage nurse send these clients to a room for treatment? Solved 4. A charge nurse is making client care assignments. | Chegg.com b. Donation costs are the responsibility of the donor's family and estate Understanding the charge nurse's role in staffing b. Show client who has conjunctivitis how to clean the eyes. c. Offer the client personal thoughts and beliefs Compartment syndrome could be developing which can impede circulation and cause nerve damage. 8. The reason for the UAP not feeding the client needs to be determined. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. a. A nurse is caring for a client who has a hip fracture that requires surgical repair. c. Physical therapist Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. 1. 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). Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? A charge nurse is making client care assignments. 4. Measure urine output when client voids. a. 1. 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 is the priority action by the nurse? Use adult diapers to prevent frequent clothing changes b. Each ROM movement should be repeated 5 times during the session. A client with diabetes admitted for debridement of a foot ulcer. 3. d. Mask, 83. What was the rationale for this plan? In what order should the nurse assess assigned clients following shift report? Client diagnosed with inoperative brain tumor who is confused. c. I will cover the catheter so he cannot see it Ask the charge nurse to evaluate the intervention. This individual should be provided appropriate comments of appreciation for this accomplishment. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. To confirm the placement of the NG tube Which task would be appropriate for the nurse to assign to an LPN/VN? Provide a between meal supplement to the client. What action should the nurse take after mistakenly administering the wrong medication? 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. Administer tap water enemas until clear at 6 AM. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. When asking the client about his receptiveness to the transfer a. The surgeon initially prescribes a clear liquid diet. - Assisting a client to ambulate using a gait belt. In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. When a family member asks how respite care can help, which of the following responses should the nurse provide? Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? a. Denial d. The nurse has already considered alternatives to restraints, a. 4. Thus, the tasks involve successful management of the charge nurse's responsibilities. b. Irrigate the wound with an antiseptic prior to obtaining the specimen 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. 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. 1. As a charge nurse, you're a frontline leaderthe first reflection of your organizationand you need to ensure you are meeting the organization's goals and values. 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. 3. The unit is short one staff member and will receive a nurse from the medical surgical unit. 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. Triage and assign color-coded tags to each client. 5. 1., 2., 4., & 5. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Did you recognize ureterolithiasis as "kidney stones"? c. Initiate a liquid diet for the client What interventions can the nurse delegate to the LPN/VN? Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). The third client that should be sent back for treatment is the female client stating she has been raped. Which nurse should be assigned to care for this client? a. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. A nurse is providing care to a client who is on strict bed rest following surgery. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. d. Services are centered in long-term care facilities, a. Return any fresh linen not used for a client to the linen supply area Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. 2. b. 4. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. The healthcare team should recognize the client as the center of the team. b. Allow the UAP to work without supervision. 1. b. I should call my doctor if I find it harder to concentrate 2. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. 3. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding). Allow families unlimited visitation around the clock to meet their schedules. A nurse is having difficulty caring for a client due to variables affecting the communication process. d. Go to employee health services, b. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com b. A post-cardiac catheterization needing assistance with bedpan. 212 4. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. 3. b. Select all that apply. b. Emptying a urinary drainage bag for a client who has pneumonia Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Something new could have occurred with the clients, making the assignments too heavy. 6. A client with exacerbation of COPD reporting dyspnea. 6. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? c. Open the right flap with the left hand In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. Describe the types of machining operations that can be performed on a lathe. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Hearing loss d. Transporting a cerebrospinal fluid specimen to the lab It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Refuse the overtime assignment, being prepared for disciplinary action. Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. d. Move to the opposite side of the pack and open the fourth flap, 54. 2. Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Gown Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. c. Nonfat milk c. One nurse lifting the client's legs as the client uses a trapeze bar The area surrounding the insertion site feels warm to the touch Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. They have found my address and are coming for my family!" a. 4. a. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. 1. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. A nurse is planning care for a female client who has an indwelling urinary catheter. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. c. I suggest you talk with a mental health counselor about your concerns This can prevent harm to client's. d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. 3. The nurse caring for the client at the time of death requests organ donation We see that the temperature is already elevated, which makes us worry that infection is present. 3. This client is not the nurse's first priority. The report should contain consequences. Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. Removing the client's dentures b. a. Well, do you see the q.d.? 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. Lord Sainsbury Contact, Articles A
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