a charge nurse is making client care assignments a charge nurse is making client care assignments

Which of the following statements should the nurse identify as an indication the client needs further teaching? Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. A Charge Nurse Role: The Ultimate Guide. The RN with 10 years' experience pulled from the ER. Currently, your census is 11, with one empty bed. Respite care provides holistic support and care for a client who is terminally ill A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. Which clients could be assigned to an LPN? b. 1. 2) Assist a client to ambulate using a gait belt. a. I'll apply ankle to my ankle today and tomorrow b. Dons gloves to empty a urinary drainage device (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 Incorrect: Obtaining the urinary output of a client at the end of the shift is appropriate for the nursing assistant and should be documented and reported to the RN. 2. Convenience for the nursing staff or the client's family C. Review a low-sodium diet for a client who has hypertension. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. Which of the following actions should the nurse include in the plan? d. Establishing the client's secondary medical diagnoses, b. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. Drag and Drop the items from one box to the other. A medical-surgical LPN has been sent to a short-staffed pediatric unit. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? Make nursing assignments appropriate to the skill level . Incorrect: This group of clients needs specific teaching. A nurse is planning care for a female client who has an indwelling urinary catheter. This client can wait until the others are treated. d. Go to employee health services, b. 1. a. I will keep my walker at the end of my bed Because the charge nurse observes and weighs . Battery The RN with 8 years' experience in the Intensive Care Unit. Which of the following is the priority action by the nurse? Which of the following responses should the nurse make? Which action should the nurse interrupt the UAP from performing? 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. The spouse can rescind the Advance Directive if the client becomes unresponsive. c. There is fluid leaking around the insertion site A two-hour limit on visits discourages quality time. The charge nurse needs additional information to make a decision. The nurse does not know the skills of the new UAP. d. The nurse has already considered alternatives to restraints, a. 3. The provider must renew a restraint prescription every 8 hr. Could you try contacting a support group Incorrect: The RN is responsible for teaching. Speak to the UAP to determine what happened with the feeding. d. I will place a bath seat in my shower to use when I bathe, b. 3. 4. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. 6. A nurse who is on hormone replacement therapy. 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. A nurse is orienting a new assistive personal (AP) to the unit. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. d. Transporting a cerebrospinal fluid specimen to the lab b. INCORRECT 3) Review a low-sodium diet for a client who has hypertension. a. a. Gather supplies to prepare room for isolation. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." 4. The charge nurse should notify the nursing supervisor who will seek additional staff. A nurse is implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions is an example of a violation of confidentiality? PDF 8 steps for making effective nurse-patient assignments This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. c. Rephrase statements the client does not hear Richied5864 Richied5864 . b. 1. Autonomy vs shame and doubt Select all that apply Which of the following tasks should the charge nurse reassign to a licensed nurse? c. Palpating for pedal edema c. Use an aggressive tone of voice The nurse voices his concern to the charge nurse. 3. Solved A charge nurse is making client care assignments. | Chegg.com Incorrect: The nurse is responsible for monitoring a client. Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. d. Move to the opposite side of the pack and open the fourth flap, 54. 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. c. When asking the client how he completes his ADLs a. I'll urinate a little then stop b. Notify the board of nursing (BON) that the float nurse is an alcoholic. The client's self-report of pain severity The best practice committee utilizes current research in their recommendations. Measuring vital signs c. Notify the nurse manager The client can indicate desire for Do Not Resuscitate (DNR). Focusing 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. Serve food that have a hot/cold balance Limit the client's fluid intake in the evening Provide positive feedback to the UAP. c. The client was restless and trying to get out of the bed all evening The cause of the fall may be cardiac, but the question does not indicate this. A nurse is caring for a client within the intimate zone of the client's personal space. c. Irrigating a client's abdominal wound - Assisting a client to ambulate using a gait belt. c. Face shield 5. (SATA) -Bathing a client who had an amputation 2 days ago. d. Complete an incident report, 70. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. a. Elicit info from the client c. Hand-off technique 4. Have another nurse finish preparing the medications c. Blood-tinged urine Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. Following the teaching, the nurse asks the client to describe one physical effect. d. Talk with the client's partner, b. b. This service focuses on teaching the primary caregiver to meet the client's needs 5. 4. During the admission of pediatric client with a compound fracture of the right femur following a sports injury, which delegation by the charge nurse is most appropriate? This is an appropriate prescription. a charge nurse is making client care assignments for the day. which 4. c. Industry vs inferiority It also helps the client deal with issues that are important to him), 19. Administer sodium polystyrene sulfonate enema. a. 4. Temporary urinary retention Pick up the tray and tell the UAP that they didn't do a good job. 2. 3. b. I will keep the fluorescent ceiling light on in my room at night Which of the following interventions should the nurse include? Select all that apply A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. 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. This invasive procedure results in some edema to the vessel used for the procedure but assessing only one pedal pulse does not provide sufficient data to verify a complication. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. The charge nurse identifies that three admissions were received during the night shift, one nurse has called in sick, and the clients on the unit have high acuity levels. 4. 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. A nurse is teaching a client about the physical effects of chemotherapy. The client is reporting anxiety, discomfort, and a feeling of bloating. Airborne (Select all that apply.) c. Can you tell me why you chose me? d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. 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). Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. What action should the nurse implement first to ensure client safety? 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. 4. Printable Nursing Brain SheetPrintable Nursing - soyu.caritaselda.es a. 1. Based on these findings, to which of the following providers should the nurse request a referral for the client? 1. To confirm the placement of the NG tube Gown b. Irrigate the wound with an antiseptic prior to obtaining the specimen d. Counting radial pulse, 100. A nurse is providing care to a client who is on strict bed rest following surgery. c. Assist the client to the floor and begin mouth-to-mouth In option #4, we see that the leading zero is missing from the prescription. The third client that should be sent back for treatment is the female client stating she has been raped. Both of these clients are terminal. Which client should be assigned to the most experienced nurse? A nurse is developing a plan of care for a client who does not speak the same language as the nurse. d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. A client with atrial fibrillation currently on a diltiazem drip. 1. 1. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following actions should the nurse include in the plan? 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. This is likely cholelithiasis, which will need to be checked out. A nurse is caring for a client who is about to have a colonoscopy. Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. 1. The client reports constipation for 4 days which may be an indication of worse problems. c. Changing a dressing Two nurses lifting the client under the shoulders Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. Narrative interaction (involves asking a client to share personal stories so the nurse can better understand the context of a client's life in the working phase of a nurse-client relationship), 47. The other options may be correct but are not the best first action. Which of the following client statements should indicate to the nurse the need for additional teaching? 4. Ask for any staff objections to rearranging work hours. 5. A charge nurse is making client care assignments. Each state BON differs in that also some have treatment programs they administer themselves. d. I have a set of my brothers' crutches in the basement I can also use, a. 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. a. a. Call the family of a client suffering from dementia to discuss long term care placement. a. 3. 2. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. c. I will begin upon the client's admission to the facility The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. Which of the following actions should the nurse take? A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 6. 3. A nurse is admitting a client from a long-term care facility. c. Raised toilet seats This client is not the nurse's first priority. December 5, 2020. 4. Cardiac catheterization with a decreased pedal pulse below insertion site. Prepare a list of clients who could quickly be discharged or transferred. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. b. Irrigate the NG tube with 100 mL of sterile water 3. 3. Which of the following actions by the nurse is considered an indirect nursing care activity? Decreased RBC production It contains a blank and is followed by four answer choices. However, there are some basic points which are standard among all facilities. 1. A float nurse arrives on the unit to assist in the care of clients for the shift. d. Sleep apnea In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. Which response by the LPN is appropriate in response to the inappropriate delegation? Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. This is a task that can be delegated to the LPN/LVN. c. Review another client's similar surgical experience The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. There are a total of 10 adult clients. The client states, "I'm feeling a bit nervous today." Ask the RN why the assignment is too heavy. 2. The nurse did not trust the new UAP. d. Routine acquisition of a urine specimen Which of the following statements should the nurse make? Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. Remind the client to tell the nurse when he has to urinate In the following sentences, circle each incorrectly used lowercase letter. 2. Nursing Brain Sheet 4 Patients - luoe.expertoendermatologia.es d. Remove and reinsert the NG tube, a. 4. 3. 1. a. The expected standard of care was strict bed rest), 96.