a charge nurse is making client care assignments10 marca 2023
4. The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. b. I'm so sorry to hear about this Which client would be appropriate for the RN to assign to the LPN? Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. Which of the following statements should the nurse make? The client is getting better. When staff do not feel vested in any new process, there is a sense of underappreciation. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. Based on these findings, to which of the following providers should the nurse request a referral for the client? Client with ureterolithiasis who requires frequent PRN pain medication. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. Incorrect: What seems to be going on with this client? Send a day's worth of medications with the client to the receiving facility. a. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Point out inconsistences in the client's behavior a. 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. 4. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. A nurse is having difficulty caring for a client due to variables affecting the communication process. Pernicious Anemia Society Client diagnosed with Guillain-Barre' who is receiving ventilator support. Read all the current literature related to oral care on unresponsive clients. 2. 1., 2., 3., & 4. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). 4. Incorrect: A client diagnosed with Guillain-Barre' is mentally competent and being on a ventilator does not indicate that the client has lost decision-making capacity. c. To determine the client's electrolyte balance The RN requests reassigning at least one of the clients to another nurse. d. Respite care is a continuation of psychological support after a family member dies. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. 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 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). Correct: Did you notice the hint? Which of the following instructions should the nurse include? When a family member asks how respite care can help, which of the following responses should the nurse provide? Which response by the LPN is appropriate in response to the inappropriate delegation? What information should the nurse include? Elderly clients have special fluid and electrolyte issues after a fall. c. Visual observation for nonverbal signs of pain Changing a colostomy bag. The primary healthcare provider may have suggestions but this is not the best first action. Incorrect: This is not completely practical for everyone. Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. 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. b. Summarization The nurse should perform which of the following activities in this space? The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. b. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. A nurse caring for a client is using active listening skills. Incorrect: This again is assessment which is the role of the RN only. 6. A nurse is adhering to standard precautions while caring for a group of clients. a. 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. A nurse is developing a plan of care for a client who practices Islam. 3. 2. The RN with 2 weeks' experience on the postpartum unit. Which nurse should be assigned to care for this client? 3. d. I have a set of my brothers' crutches in the basement I can also use, a. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. a. Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. Use the tablet's packaging to pick it up from the counter Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. Briefly assess every client. d. Bend at the knees when picking up an object, 99. Narrative interaction a. a. I'll urinate a little then stop Provides day to day direction and supervision to assigned direct patient care staff. A charge nurse is making client care assignments. As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. a. 3. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. Assist ait to ambulate using a gait belt. A goal for this client is to use proper body mechanics at all times. Select all that apply Therefore, this client would not be a priority over a client who may be experiencing a MI. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. They are likely to wait for others to initiate conversation When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. Select all that apply. Correct: Hot water may damage dentures so intervention is needed. Patient safety must remain the priority. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. Stand directly in front of the client This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. Assist a client to ambulate using a gait belt The nurse on a large surgical unit needs to evaluate several clients returning from procedures. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. & 5. 1. Select all that apply Make referrals to community services. 4. c. Washes and rinses her hands for 10 seconds This is a diabetic clinic. Even though the client is a child, superficial burns require only dry sterile dressings and possibly oral pain medication, both tasks which are within the scope of practice for an LPN. We see that the temperature is already elevated, which makes us worry that infection is present. 1. Write N next to the nonessential clauses and E next to the essential clauses. Measure urine output when client voids. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. American Sickle Cell Anemia Association Obtain a urine specimen from a client with an indwelling Foley catheter. Donning gloves and using a gauze pad to grasp and remove dentures The nurse could definitely be part of the committee. Temporary urinary retention Correct. leadership management of care nurse on unit is providing care for group of clients. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. What is the best first action for the nurse to take in order to achieve this goal? Sudden attacks of sleep A charge nurse is making client care assignments. b. Could you try contacting a support group The supervisor can only send one LPN/LVN to the floor. Incorrect: The nurse is responsible for evaluating a client. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? 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). Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. What is the major histological difference between thick and thin skin? 4. They are more direct when discussing issues Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Drag and Drop the items from one box to the other. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. Disconnect client's nasogastric (NG) tube suction to allow ambulation. a. I will begin 48 hr before the client's discharge Select all that apply (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. 3. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. 4. The nurse should call for immediate help so that a safe care environment is maintained for all clients. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. Phone report to the receiving nurse. b. a. Which of the following sites should the nurse plan to use to obtain the blood specimen? 4., & 5. Remove all metal necklaces Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. Hold the penis at a 30 to 45 degree angle when inserting the catheter A nurse is preparing an education presentation about organ donation for a group of newly licensed nurses. 4. Accept assignment, documenting personal concerns regarding work conditions. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. Identify and assess each incoming client. 2. A charge nurse is making assignments for an oncoming shift. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. A nurse is caring for an older client who is at risk for skin breakdown. (Select all that apply.) }? benefactor of the world. Hanging a new bag of total parenteral nutrition (TPN). 3. 4. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. Review a low-sodium diet for a client who has hypertension. Although this will require assessment, this client is not the priority at this time. *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.
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