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

Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. It would not be appropriate to overload this new employee with extra work. 2. 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. Of my three brothers and sisters, my sister Giselle has the best sense of humor. a. In the following sentences, circle each incorrectly used lowercase letter. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. b. Irrigate the wound with an antiseptic prior to obtaining the specimen Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. Correct: Traction should never be relieved without a primary healthcare provider's prescription. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Incorrect: The nurse cannot assign teaching to the UAP. b. a. Hypotension A nurse is providing care to a client who is on strict bed rest following surgery. The nurse on a large surgical unit needs to evaluate several clients returning from procedures. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Besides yourself, there are the following staff: Your unit has 12 beds. 3. a. b. I will begin once the client's discharge order is written Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Use adult diapers to prevent frequent clothing changes 2. butter, which contain 16 g of protein, 7 g of carbohydrates, It can result in muscle spasm and tissue damage. c. I will begin upon the client's admission to the facility c. Malpractice This is on the "Do Not Use" list of abbreviations because the period after the "Q" can be mistaken for "I", which would be interpreted as qid (four times a day) instead of the intended once daily dosage. Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. d. Talk with the client's partner, b. Incorrect: This response overlooks a potentially severe problem. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen 4. Incorrect: The client does need to have food; however, there is another action that should be performed first. Irrigate a client's ear canal. 1. c. Distended bladder 1. c. Review a low-sodium diet for the client who has hypertension Administering IV pain medication to a two day post op client. Incorrect: The nurse retains the responsibility for the delegated task. 2. b. The client receives home health care and spends most of his day in a reclining chair. Select all that apply d. I hope I don't have to take as many pain pills, d. Left forearm (allows for easy access and doesn't interfere with the IV catheter), 46. b. There may be a good reason that the tray was not served. 5. INCORRECT 3) Review a low-sodium diet for a client who has hypertension. 1. The charge nurse on the postpartum unit is making assignments. 4. b. A nurse asks a client how he is feeling. Patient safety must remain the priority. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. 3. Client diagnosed with inoperative brain tumor who is confused. A nurse is caring for a client who expresses anxiety about his impending surgery. -Review a low-sodium diet for a client who has HTN a. Bathe a client who had an amputation 2 days ago b. Make nursing assignments appropriate to the skill level . c. Discard the tablet and obtain another dose of medication Feedback c. Lock the medication in a room and finish preparing it after returning from the emergency Notify the nursing supervisor of the situation. a. a. leadership management of care nurse on unit is providing care for group of clients. 3. A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. c. Nonfat milk The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. An increased temperature will have a direct effect on the brain's metabolism and function. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. Assist ait to ambulate using a gait belt. Assign a nursing assistant to help the client with self-care activities. The nurse should initiate a referral with which of the following members of the interprofessional health care team? A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. Once the client is stable, the UAP could perform this task. 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. A nurse receives a client care assignment from the charge nurse that he believes is unfair. 1. 2. e. Feed a client who had a stroke 3 months ago, 31. 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. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? d. Remove and reinsert the NG tube, a. 4. Could you try contacting a support group Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? A charge nurse is making client care assignments. b. 4. Which of the following statements should the nurse identify as an indication that the client requires further clarification? 2. Currently, your census is 11, with one empty bed. Reporting laboratory findings to a member of the client's family 2. Documentation is a communication tool for the interprofessional health care team. Assist client to brush and floss teeth. (Select all that apply.) c. Gender Where on the body is each type of skin found? b. Tenderness over the symphysis pubis b. Dons gloves to empty a urinary drainage device 2. This protein is released by cells in the stomach. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? Client prescribed antibiotics for cystitis. 3. Reach around the pack and open the top flap away from the body a. Shakes the soiled linen to remove any toilet paper remnants Point out inconsistences in the client's behavior Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. A nurse is developing a plan of care for a client who practices Islam. Education a. Speak using his usual tone of voice 4. 1. The nurse should use close-ended questions when assessing which of the following factors? Assist a client to ambulate using a gait belt This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Now, in Option #2, we see a dangerous prescription. The third client that should be assessed by the nurse is the client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. c. Depression A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. Teaching insulin self administration to a diabetic client. d. I will begin once the client's insurance company approves discharge coverage, b. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. b. Which of the following statements by the student indicates understanding of the discussion? The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? 2. This should not be delegated to the LPN/LVN. There are a total of 10 adult clients. b. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. 2. All these clients have a GI problem. Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. 1., 2., 3., & 4. 5. What actions should a nurse take to provide continuity of care when discharging a client diagnosed with hemiparesis to a long-term care facility for rehabilitation? 1. The facility has insurance that will cover malpractice litigation Give magnesium citrate 296 mL at 3 PM today. 3. a. A nurse is preparing an education presentation about organ donation for a group of newly licensed nurses. He charge nurse is making client care assignments for the evening shift. The client asks the nurse, "Why do I need that? These are appropriate tasks for an UAP to complete. The expected standard of care was strict bed rest), 96. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. 3. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Include any relevant statements the client made about the ulcer Elderly client admitted 30 minutes ago with reports of constipation for four days. Triage and assign color-coded tags to each client. For which of the following actions should the nurse intervene? Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. 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. A nurse is teaching a client who has a history of falls about home safety. I'm drinking plenty of fluids." with this question, the nurse is using which of the following communication techniques? These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. d. I have a set of my brothers' crutches in the basement I can also use, a. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. A nurse is preparing medication for a client when another client has an emergency. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). The nurse is reviewing some clients' prescriptions. Report of feeling pressure A nurse is admitting a client from a long-term care facility. Incorrect: This is not completely practical for everyone. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. This client is stable and predictable. Which prescription should the nurse question and have corrected? The best practice committee works to improve clinical practice based on current research. Refuse the assignment, being prepared for disciplinary action. 3. a. d. Arguing, a. I'll apply ankle to my ankle today and tomorrow (the RICE acronym outlines how to treat an ankle sprain: rest, ice, compression, elevation), 16. UAPs can assist with elimination and are taught how to measure output. This item: Nursing Brain Sheet Multiple Patient Notebook - Nurse and CNA Report Sheet - 3 Patients per Template $1999 BadgeGuru by Tribe RN - 52 Cheat Sheets on 26 Nurse Badge Cards - Designed by Nurses, for Nurses - Essential for Nurses and Nursing Students - Bonus Access to Our Digital Resource Library - Inverted $1997 ($0. 4. The RN with 8 years' experience in the Intensive Care Unit. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. c. One nurse lifting the client's legs as the client uses a trapeze bar Relax her abdominal muscles when she lifts an object A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. 4. Correct. a. I will keep my walker at the end of my bed a. Have a pen and paper handy Which of the following findings should the nurse expect? Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. This could cause a medical emergency. b. Donation costs are the responsibility of the donor's family and estate Discuss the assignment with another LPN. Which actions should be instituted by each unit's charge nurse? However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? Only a plain enema or soap enema can be given by the UAP. Write the letter of your choice on the answer line. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. 4. When asking the client about his receptiveness to the transfer A nurse is planning to discharge a client who has quadriplegia to his home. In what order should the emergency department triage nurse send these clients to a room for treatment? Sudden attacks of sleep a. 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. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. Clients over the age of 65 must have a saline lock according to facility policy 3. Though it may benefit staff to have one particular goal, some clients cannot tolerate to have everything performed at one time, and instead need short rest periods during personal care. 2. Which of the following actions should the nurse take? Which referral would most likely be appropriate for the nurse to make? b. Numbness d. Proceed with the preparation of the patient's surgical procedure, 15. There are a total of 10 adult clients. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. The nurse voices his concern to the charge nurse. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. Also, making a surgical bed for the client returning from surgery is a basic procedure. 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. 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. Client reporting a headache and has a fruity breath. a. 2. The client is apparently stable and does not require any advanced assessment skills or specialized care. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. c. Consensus evolves in this stage Which of the following statements should the nurse make? The RN with 10 years' experience pulled from the ER. Assign more daily tasks to the UAP. The nurse should not lecture, scold or argue with the float nurse. Report the incident to the charge nurse Write N next to the nonessential clauses and E next to the essential clauses. A nurse is caring for a client who has emphysema and has difficulty with mobility. 2. Nothing by mouth (NPO). 4. 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? Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. A nurse is caring for a client who has a mental health disorder. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. Placing a washcloth in the bathroom sink prior to cleaning. d. Let's wait until tonight to see if he continues his behavior, 63. d. principal. 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 #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. 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 3. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? Which tasks should the charge nurse complete at the end of the shift before leaving for the day? Following the teaching, the nurse asks the client to describe one physical effect. Which of the following actions indicates that the AP understands the principles of infection control? This would be out of the UAP's scope of practice. The situation should be explored before bringing the supervisor in on the situation. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. a. a. a. Elicit info from the client For Option #3, you may have recognized MgSO4 as being magnesium sulfate. 3. c. Include intact skin at the wound edges in the culture The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. a. A nurse is teaching a client about carbon monoxide poisoning. 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. a. I will keep spare crutch tips handy Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Dentures should be stored in a denture cup. What interventions can the nurse delegate to the LPN/VN? Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. Gather supplies to prepare room for isolation. Empty the drainage bag at least every 8 hrb.) 2. 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. 2. a. Which client can be assigned to the LPN? & 4. 1. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. The spouse can rescind the Advance Directive if the client becomes unresponsive. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Besides, a charge nurse is a leader on the floor and should possess . This stage involves constructive efforts on the part of the group members 3. c. Washes and rinses her hands for 10 seconds 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. A nurse is preparing to move a client who is only partially able to assist up in a bed. Client who has multiple injuries from a motor vehicle accident. a. a. Briefly assess every client. Semi-formed stools are great news! 4. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. Providing a passive response A nurse is caring for a client who has a wound infection. 3. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Removing the client's dentures A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. 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. Doing this at the end of the shift could prevent completion of the client assignment sheet for the next shift and possibly create unnecessary overtime for the charge nurse. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. Only the state Board of Nursing can legally determine the LPN's scope of practice. Select all that apply b. I will keep the fluorescent ceiling light on in my room at night Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. Which of the following actions should the nurse take? 4. 2. 4. Use double bagging to remove soiled linen from the client's room Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. 1. A charge nurse is observing a group of newly licensed nurses. d. Sleep apnea Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. 4. A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. The nurse is caring for four clients. Select all that apply. 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. What action should the nurse take after mistakenly administering the wrong medication? 1. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. (c) Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108\mathrm{Ba}^{2+}(a q)+\mathrm{CO}_3^{2-}(a q) \longrightarrow \mathrm{BaCO}_3(s) ; K=3.8 \times 10^8Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108 A nurse has completed an informed consent form with a 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. 2. Which action by an unlicensed nursing assistant would require the nurse to intervene? During exacerbation, the client will have many diarrhea stools. 4. Elevating the head of the bed 30- 40 for the client post thoracotomy c. Review another client's similar surgical experience Question: A charge nurse is making client care assignments. 3. a. c. Visual observation for nonverbal signs of pain a. c. The emphasis is on the client's complete recovery from the illness or injury The client reports constipation for 4 days which may be an indication of worse problems. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. Which action should the nurse interrupt the UAP from performing? Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? When staff do not feel vested in any new process, there is a sense of underappreciation. Decide which choice fits best in the blank. Vital sign measurement Autonomy vs shame and doubt Based on this information,what should the nurse do? Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. 2. a. b. The assignment process requires constant evaluation and reevaluation of information and priorities. d. Explain oral hygiene to a client receiving chemo a. c. Do not eat or drink anything the morning of the test 1. 3. d. Place the tablet directly into a medication cup, 36. 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. 1., 2., 4., & 5. 3. The nurse asks why the client needs to know this. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. a. Which of the following actions should the nurse take prior to administering the tube feeding? Ask the client to perform a return demonstration of insulin injection 4. A client with atrial fibrillation currently on a diltiazem drip. 2. (Select all that apply.) The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. c. Initiate a liquid diet for the client If you give the magnesium citrate, which is a laxative, what will happen? Client scheduled for breast reconstruction after mastectomy. Teaching insulin self administration cannot be delegated to the LPN. A family member requests that the nurse apply restraints. 1. 4. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. A nurse receives a client care assignment from the charge nurse that he believes is unfair. a. The nurse is using which level of communication at this time? Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. b. Irrigate the NG tube with 100 mL of sterile water Cardiac catheterization with a decreased pedal pulse below insertion site. d. Respite care is a continuation of psychological support after a family member dies. 3. c. Offering false reassurance 4. 1. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. 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. a. Which of the following infection-control precautions should the nurse use caring for this client? 3. d. Assault, b. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. Which of the following instructions should the nurse include? Explore the client's feelings Determine caregiver's stress level and coping strategies. Determine which personnel could be sent to the command center. The client with cystitis is stable and has a predictable outcome. a. A medical-surgical LPN has been sent to a short-staffed pediatric unit. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. Administer sodium polystyrene sulfonate enema. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? 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. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a 6. b. c. Environment Read all the current literature related to oral care on unresponsive clients. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. A person can be designated to make medical decision in the event the client cannot. 1., 2., 3., & 4. What should the nurse do first? Delegate 2 nurses to work with the client.