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

Pick up the tray and tell the UAP that they didn't do a good job. Witness the client's signature A nurse is performing care activities for a client in the zone of touch that requires his consent. d. Let's wait until tonight to see if he continues his behavior, 63. c. The client's culture Changing a colostomy bag. 1. Obtain a client's consent 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. They are more direct when discussing issues It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility nurse in order to support continuity of care. Comatose client with end stage chronic obstructive pulmonary disease. The RN with 5 years' experience in the Labor and Delivery unit. 2) Assist a client to ambulate using a gait belt. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 1. b. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. c. Hallucinations at the onset of sleep In which situation should the nurse consult the client's advanced directive? A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. c. They tend to use more verbal communication Ask the float nurse, "Have you been drinking?" Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. a. Refuse the overtime assignment, being prepared for disciplinary action. Notify the charge nurse of the observations. Which of the following statements should the nurse identify as an indication that the client understands the instructions? Which of the following actions should the nurse take? 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. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. (Select all that apply.) 4. 2. Which of the following statements should the nurse identify as an indication that the client needs further instruction? Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. a. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. The facility has insurance that will cover malpractice litigation INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. A person can be designated to make medical decision in the event the client cannot. Which of the following approaches should the nurse use when using confrontation? The charge nurse is developing patient care assignments for the evening shift and needs to assign clients to a licensed practical nurse/licensed vocational nurse (LPN/LVN) and a certified nursing assistant (CNA). 4. 3. 2. A goal for this client is to use proper body mechanics at all times. b. Also, making a surgical bed for the client returning from surgery is a basic procedure. d. Do you think crying will help? A nurse is creating a discharge plan. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Assign a nursing assistant to help the client with self-care activities. Sudden attacks of sleep A nurse is caring for a client who states, "I have got to get out of this hospital! Correct: If suspicious behavior occurs, it is important to keep careful, objective records. a. 1. 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. b. Irrigate the wound with an antiseptic prior to obtaining the specimen The nurse voices his concern to the charge nurse. Aplastic Anemia Support Group. Give magnesium citrate 296 mL at 3 PM today. 2. - Assisting a client to ambulate using a gait belt. c. Raised toilet seats d. What have you done in the past to cope with this issue? 2. Which of the following responses should the nurse make? 4. 3. 4. The client is apparently stable and does not require any advanced assessment skills or specialized care. There are a total of 10 adult clients. Assist a client to ambulate using a gait belt. c. When asking the client how he completes his ADLs Review a low-sodium diet for a client with hypertension. 4. 9. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. b. Which of the following actions should the nurse take to assist the client with feeding? c. Inform the surgical team to cancel the client's surgery Point out inconsistences in the client's behavior This service began with the client's admission to the hospital What would the approximate meaning of photoelectric be, based on these root words? The RN requests reassigning at least one of the clients to another nurse. Use the tablet's packaging to pick it up from the counter d. Custard Review a low-sodium diet for a client who has hypertension. 4. Two hours . This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. b. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. 1. 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. The client is reporting anxiety, discomfort, and a feeling of bloating. b. A school-aged child with a fractured femur who is in balanced suspension traction. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. 3. A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. b. Summarization The client asks about his medications and their effects. and 16 g of fat. b. The nurse did not trust the new UAP. 5. Serve food that have a hot/cold balance d. What have you done in the past to cope with this issue? 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. ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. d. To identify delayed gastric emptying, a. Auscultate breath should at least ever 2 hr (priority action the nurse should contribute to the plan of care when using the ABC approach to client care in auscultating breath sounds to determine the client's need for suctioning; with inactivity, secretions can pool in the airways, diminishing breath sounds and causing crackles and dyspnea), 43. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. c. Physical therapist Accept assignment, documenting personal concerns regarding work conditions. 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. Provide an adaptive feeding device for the client, 50. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. b. Urinary frequency for several days d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. 2. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. b. The nurse would then start the 24 hour urine once the 1st void has been discarded. Temporary urinary retention Besides yourself, there are the following staff: Your unit has 12 beds. c. Lock the medication in a room and finish preparing it after returning from the emergency 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. Disconnect client's nasogastric (NG) tube suction to allow ambulation. "The client is weak on the right side, so please assist the client with dressing . 7. There will likely be both physical and emotional injury that needs attention, which places this client third. Assist client to brush and floss teeth. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. Provide an adaptive feeding device for the client The surgeon initially prescribes a clear liquid diet. Decreased RBC production 4. However, it remains true pain for this client and the client would need intervention to help manage this pain. 4. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. 4. Select all that apply A nurse is preparing medication for a client when another client has an emergency. c. Request a tray without pork Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. The charge nurse might not have realized all the responsibilities of taking this team of clients. There is a trailing zero after the prescribed dose. Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. d. Go to employee health services, b. d. Establishing the client's secondary medical diagnoses, b. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. 2. Airborne a. b. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. a. I will wear gloves when removing food from the freezer 4. Which of the following actions should the nurse include in the plan? Take several shallow breaths during the procedure Check environment for potential safety hazards. 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. Symbolic communication Explain administration is demanding a decreased overtime. 3. 1. A list of current medications is sent to the facility. a. I'll urinate a little then stop d. Services are centered in long-term care facilities, a. Wrapping the dentures in tissue while the client sleeps Provide positive feedback to the UAP. d. I will take my medications at the first sign of an attack, d. To identify delayed gastric emptying (the nurse should measure the amount of unabsorbed formula from the previous feeding to identify delayed gastric emptying; if it is delayed the nurse should avoid overfeeding the client and causing gastric distention), 42. Decide which choice fits best in the blank. The nurse should assess the client for which of the following expected outcomes after catheter removal? c. Consensus evolves in this stage Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. Place the client in a lateral position Place the client in low Fowler's position A charge nurse is making assignments for an oncoming shift. Select all that apply b. Client with ureterolithiasis who requires frequent PRN pain medication. The nurse is responsible for the assessment of all vital signs of post-op clients. It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. The primary healthcare provider may have suggestions but this is not the best first action. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). The other options may be correct but are not the best first action. The charge nurse is planning the staff assignments for the clients on a neurological unit. This schedule may leave some clients too exhausted to visit with family. 4. b. Read all the current literature related to oral care on unresponsive clients. Electric cords behind the furnitrure Therefore, this would not be the most appropriate nurse to assign to this client. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. A nurse is engaging in relationship counseling with a male client. Which of the following responses should the nurse make? 4. A nurse is caring for an older client who is at risk for skin breakdown. 4. A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." Convenience for the nursing staff or the client's family Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. 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. Nurses dependent on drugs or alcohol can harm clients. a. I'll apply ankle to my ankle today and tomorrow The LPN can monitor the wound and provide care to the PEG insertion site. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. If a sentence is already correct, write CCC. e. Time, c. The nurse may serve as a witness to informed consent for organ donation (nurses may witness the consent for organ donation after a specially trained professional requests consent), 23. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. Serve milk products separately from meals If you give the magnesium citrate, which is a laxative, what will happen? Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. D. d. Ambulating the client in the hallway, c. Explore the client's feelings about dietary modifications (this teaching intervention allows the client to express his acceptance of this change and focuses on affective learning), 80. Which of the following actions is the nurse's priority? Who should the nurse see first? b. I will keep the fluorescent ceiling light on in my room at night b. If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. 1. Which of the following instructions should the nurse include? Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. The supervisor can only send one LPN/LVN to the floor. However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. Furosemide 40 mg PO q.d. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. (SATA) -Bathing a client who had an amputation 2 days ago. To focus on effective learning with this client, which of the following interventions should the nurse use? A nurse is developing a plan of care for a client who practices Islam. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. Documentation of what occurred, and the client's assessment is required in the nurse's notes. The charge nurse on the postpartum unit is making assignments. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. The last client would be the one needing dietary education. 4. Client to receive dietary education. a. Which of the following tasks should the nurse delegate to assistive personnel (AP)? The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. Provides day to day direction and supervision to assigneddirect patient care staff . d. Respite care is a continuation of psychological support after a family member dies. d. Motor impairment, 84. 3. This is likely cholelithiasis, which will need to be checked out. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. 1., 2., 3., & 4. 2. d. Talk with the client's partner, b. During exacerbation, the client will have many diarrhea stools. What client should the nurse assess first? 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. Now, in Option #2, we see a dangerous prescription. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." Performing passive range of motion (ROM) on the client with right sided paralysis. Pernicious Anemia Society The client can indicate desire for Do Not Resuscitate (DNR). A nurse is caring for a client who has a wound infection. a. The third client that should be sent back for treatment is the female client stating she has been raped. Client with chronic emphysema experiencing mild shortness of breath. c. Notifying the provider of physical exam findings 1. 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. d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12. 4. e. Feed a client who had a stroke 3 months ago, 31. Report from the night shift nurse for one client included the recent development of the following findings: BP 150/100, proteinuria, severe headache, blurred vision, and abdominal pain. 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. b. a. Assist ait to ambulate using a gait belt. a. I will keep my walker at the end of my bed Evaluate pain relief after narcotic administration. This includes medication enemas. The cleint's family asks the nurse for info about this type of care. A nurse is caring for a client who is postoperative following abdominal surgery. c. Hand-off technique Ambulating a client who is 2 days post vaginal hysterectomy So, the UAP can assist a client to brush and floss teeth. 3. Offer to take one of the clients. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. The nursing supervisor may be able to assist with client care until another nurse can come in to work. Pain e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. a. Incorrect: This client does not have a predictable outcome. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. 2. 2. Gather and apply dressings to open wounds. 2. b. Phone report to the receiving nurse. c. Check to see if the suction equipment is working 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. The report should contain consequences. 6. A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. b. Only a plain enema or soap enema can be given by the UAP. A nurse wants to find out a better way to perform oral care on unresponsive clients. 2. d. Lean back in the chair, b. 4. The spouse can rescind the Advance Directive if the client becomes unresponsive. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? Which of the following interventions should the nurse include? A lack of rapid eye movement (REM) sleep A nurse is assessing a client who is experiencing prostatic hypertrophy. Relax her abdominal muscles when she lifts an object 1. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. A client post pacemaker insertion, awaiting discharge instructions. No! A two-hour limit on visits discourages quality time. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. 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. Ask for any staff objections to rearranging work hours. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Correct: Communication is important in delegation, as is follow-up. 6. c. Irrigating a client's abdominal wound 3. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. A client with exacerbation of COPD reporting dyspnea. 1. Refuse the delegated intervention. 3. When asking the client about his receptiveness to the transfer To confirm the placement of the NG tube b. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Wears a gown when entering the room of a client who requires contact precautions d. I shouldn't advice you about what is ultimately a personal decision, b. a. Which client should the nurse see first? 2. CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. 1. Provides safe, effective delivery of patient care in . A nurse who is breastfeeding her 4 month old. The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. 4. Request a prescription for a medication to ease the client's anxiety 3. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. b. 3. Explore the client's feelings Lumbar puncture reporting a headache. Incorrect: The nurse is responsible for evaluating a client. d. The nurse has already considered alternatives to restraints, a. a. Select all that apply. d. They disclose more personal information, a. Empty the drainage bag at least every 8 hrb.) Discuss the competency of the surgeon A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. c. Discard the tablet and obtain another dose of medication d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound 1. Which of the following findings should the nurse identify as a safety risk? Gathering needed equipment and supplies is within the scope of duties for the UAP. Change the subject when the client behaves defiantly 1. Which of the following sites should the nurse plan to use to obtain the blood specimen? The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. Client reporting a headache and has a fruity breath. which of the following actions should the nurse perform? 3. 3. a. The charge nurse must triage and assign clients to appropriate staff. This would be an acceptable task to assign to the UAP. 3. Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. (Select all that apply.) This task cannot be delegated to the LPN/LVN. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). d. I will begin once the client's insurance company approves discharge coverage, b. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage a. 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. b. eminent 1. Denial b. I will call the doctor and get the prescription It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. This service focuses on teaching the primary caregiver to meet the client's needs The nurse is reviewing some clients' prescriptions. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. the nurse should delegate collection of which of the following specimens to DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia Maryville University 1. 2. 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. b. c. Do not eat or drink anything the morning of the test Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Removing the client's dentures 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.