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 that the client needs further teaching? a. 7. 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. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. A nurse is caring for a client in the orientation phase of the nurse-client relationship. a. 3. c. Washes and rinses her hands for 10 seconds 2. Pick up the tray and tell the UAP that they didn't do a good job. b. Which of the following activities should the nurse perform in this zone? Two nurses lifting the client under the shoulders Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Change the subject when the client behaves defiantly A nurse is admitting a client from a long-term care facility. 4. a. This client needs ongoing monitoring which is within the scope of practice for the LPN. Incorrect: The purpose of a cystogram is to examine the inside of the bladder to confirm the presence or absence of abnormalities, or even obtain a biopsy. A goal for this client is to use proper body mechanics at all times. Hearing loss 2. Which of the following statements should the nurse make? This is not a situation that requires the LPN to notify the primary healthcare provider. This is likely cholelithiasis, which will need to be checked out. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. A nurse is caring for a client who is postoperative following abdominal surgery. d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. -Review a low-sodium diet for a client who has HTN a. a. 4. a. Incorrect: The RN is responsible for collecting data. Currently, your census is 11, with one empty bed. 4. Which action by an unlicensed nursing assistant would require the nurse to intervene? Incorrect: This client does not have a predictable outcome. d. I will place a bath seat in my shower to use when I bathe, b. Determine which personnel could be sent to the command center. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Which actions should be instituted by each unit's charge nurse? Correct: A LPN should be able to care for a client with arthralgia who requires pain medication on a regular schedule and is receiving warm compresses. 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. Explain administration is demanding a decreased overtime. 2) Assist a client to ambulate using a gait belt. A nurse who is breastfeeding her 4 month old. a. d. Mask, 83. 2. 3. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. A nurse is caring for a client who has a hip fracture that requires surgical repair. A nurse is preparing to move a client who is only partially able to assist up in a bed. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. 4. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. 4. d. Voided 30 mL frequently, 48. Select all that apply. 1. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" Select all that apply 1. The charge nurse needs additional information to make a decision. Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case), 29. Teach caregivers memory enhancement aids. 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. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. The LPN can monitor the wound and provide care to the PEG insertion site. Female client stating she has been raped. 208 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 nontherapeutic communication techniques is the nurse using? Occupational therapist 5. When staff do not feel vested in any new process, there is a sense of underappreciation. A nurse wants to find out a better way to perform oral care on unresponsive clients. a. - Assisting a client to ambulate using a gait belt. 4. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. a.) This can prevent harm to client's. 2. The client was lying on the floor next to his bed It contains a blank and is followed by four answer choices. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. 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. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. The area surrounding the insertion site feels warm to the touch, 61. Reach around the pack and open the top flap away from the body c. I will cover the catheter so he cannot see it Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. a. a. 3. The surgeon initially prescribes a clear liquid diet. Answer the following question to test your understanding of the preceding section: 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. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. When a family member asks how respite care can help, which of the following responses should the nurse provide? A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Tenderness over the symphysis pubis Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. A nurse is having difficulty caring for a client due to variables affecting the communication process. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. 5. & 5. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. b. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. 3. Furosemide 40 mg PO q.d. 2. Gather and apply dressings to open wounds. The best practice committee works to improve clinical practice based on current research. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Document current functional status assessment Pain Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. b. 2. These individuals are selected by the charge nurse, and do not have to be nurses. c. Check to see if the suction equipment is working Which of the following actions should the nurse include in the plan? Client diagnosed with Guillain-Barre' who is receiving ventilator support. 1. Include any relevant statements the client made about the ulcer, 64. Two hours . The client with chronic emphysema has expected shortness of breath. 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. 3. d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. Incorrect: The RN is responsible for teaching. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Allow families unlimited visitation around the clock to meet their schedules. Nurses dependent on drugs or alcohol can harm clients. A charge nurse is planning client activities for the day. It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. 4. Select all that apply. Request a prescription for a medication to ease the client's anxiety b. 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. Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Incorrect: Informing is the same thing as teaching. 2. Select all that apply 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." Reporting laboratory findings to a member of the client's family d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. 4. d. Talk with the client's partner, b. Identify and assess each incoming client. a. c. I'll need to shave the hair off the skin where I place the electrodes The nurse has been assigned four clients. The facility has insurance that will cover malpractice litigation It happened so long ago - just get over it!" 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. 1. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. Have a pen and paper handy c. Hallucinations at the onset of sleep, 65. A nurse in a long-term care facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontinence. Schedule visiting times in two-hour increments so clients are not overwhelmed. 4. 2. But the client does need to be assessed prior to the client with Crohn's disease who is improving. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. Transfer essential medical record to the receiving facility. For which of the following actions should the nurse intervene? A nurse is caring for a client who is about to have a colonoscopy. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? 8. The nurse should use close-ended questions when assessing which of the following factors? b. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? The RN requests reassigning at least one of the clients to another nurse. a. Auscultating heart sounds Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. d. Identifying the client by name when making a referral for home health services, 30. A client with fibromyalgia reporting generalized pain of 7 out of 10. Nurses Report Sheet Template Nicu. c. Physical therapist A charge nurse is making client care assignments. Following the teaching, the nurse asks the client to describe one physical effect. Cystogram reporting burning on urination. Removing the client's dentures Report the incident to the charge nurse Obtain a client's consent Administering IV pain medication to a two day post op client. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. 2. Which of the following actions should the nurse take regarding informed consent? a. Since the enema would clean below the obstruction, the client would be able to expel the enema and any feces in this part of the colon. Which of the following explanations should the nurse provide? 2. 1. a. Which of the following types of torts has the nurse committed? This client should report an improved respiratory, not shortness of breath. a. 1. Client to receive dietary education. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. So, the UAP can assist a client to brush and floss teeth. c. Explore the client's feelings about dietary modifications The nurse is focusing on which of the following elements of the communication process? The client reports constipation for 4 days which may be an indication of worse problems. Which of the following findings indicates that the client is meeting this goal? In which situation should the nurse consult the client's advanced directive? Which region of the tRNA pairs with mRNA? Which of the following actions should the nurse take? 1. Have another nurse guard the medication preparations until the nurse returns The RN with 8 years' experience in the Intensive Care Unit. Refuse the overtime assignment, being prepared for disciplinary action. 3. Which of the following findings should the nurse expect? Which group of clients should she assign to the medical surgical nurse? (b) H3O+(aq)+OH(aq)2H2O(l);K=1.01014\mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{OH}^{-}(a q) \longrightarrow 2 \mathrm{H}_2 \mathrm{O}(l) ; K=1.0 \times 10^{14}H3O+(aq)+OH(aq)2H2O(l);K=1.01014 b. The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. which of the following actions should the nurse perform? Which tasks should the charge nurse complete at the end of the shift before leaving for the day? Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. This is an appropriate and safe action for the unlicensed nursing assistant to do. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. One important aspect is encouraging the flow of ideas between management and staff members. A client with diabetes admitted for debridement of a foot ulcer. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. A nurse is caring for a client who expresses anxiety about his impending surgery. The nurse has just completed a 12 hour shift. It's unfortunate that I have to be in the hospital for this treatment A nurse who is 10 weeks pregnant. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Incorrect: This again is assessment which is the role of the RN only. A nurse enters an older adult client's room to insert a saline lock. 4. Which client can be assigned to the LPN? 2. Notify clients that the disaster plan has been put into effect. 1-month-old infant with bronchiolitis with a respiratory rate of 60 6-month-old infant with pneumonia on oxygen 4-year-old child with nephrotic syndrome with 4 protein in the urine 6-year-old child 2-day post-op appendectomy with a surgical drain LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. Besides, a charge nurse is a leader on the floor and should possess . 2. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. The nurse should not lecture, scold or argue with the float nurse. 2., 3. 2. Which of the following findings should the nurse identify as a safety risk? 3. Sudden attacks of sleep Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. A nurse is administering a cold therapy application to a client. a. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. A nurse is preparing to obtain a blood specimen from a client by venipuncture. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Which of the following instructions should the nurse include? This referral would be appropriate. Pernicious Anemia Society Allow the UAP to work without supervision. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. c. Notifying the provider of physical exam findings The nurse is planning care for a client admitted with Alzheimer's Disease. 2. Incorrect: This response overlooks a potentially severe problem. 3. Administer sodium polystyrene sulfonate enema. Which of the following tasks should the charge nurse reassign to a licensed nurse? 3. Select all that apply. The nurse is responsible for the assessment of all vital signs of post-op clients. Elderly clients have special fluid and electrolyte issues after a fall. A nurse is orienting a new assistive personal (AP) to the unit. Correct: The client may be experiencing a myocardial infarction and requires further assessment. c. Request a tray without pork Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. b. The client would develop severe cramping. A nurse is teaching a client about the physical effects of chemotherapy. The client attempted to climb over the side rails and fell Of my three brothers and sisters, my sister Giselle has the best sense of humor. What task would be best to assign to the LPN/LVN? 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. a. e. The urge to move the legs when trying to sleep, 66. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? c. The emphasis is on the client's complete recovery from the illness or injury c. When asking the client how he completes his ADLs 2. Focusing d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. Select all that apply. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. Comatose client with end stage chronic obstructive pulmonary disease. 4. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. 4. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. The healthcare team should recognize the client as the center of the team. In what order should the emergency department triage nurse send these clients to a room for treatment? 1. A nurse caring for a client is using active listening skills. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. 1. Which of the following responses should the nurse make? The client says, "go away, no one can help me." The nurse is caring for four clients. A nurse is admitting a client who has a partial hearing loss. 3. d. Custard A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. Education Review a low-sodium diet for a client with hypertension. d. I decline this opportunity at this time, b. Incorrect: Atrial fibrillation places the client at risk for blood clots. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. A nurse is adhering to standard precautions while caring for a group of clients. 4. Incorrect: The concern here is the client being fed their meal. 1. Obtain a urine specimen from a client with an indwelling Foley catheter. 3. The nurse should not be assigned to provide care if impairment is suspected. Check environment for potential safety hazards. Select all that apply 1. 2. The charge nurse is making client assignments for a neuro-medical floor. Call the client's provider b. 2. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). a. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. Notify the nursing supervisor of the situation. Client diagnosed with inoperative brain tumor who is confused. Give magnesium citrate 296 mL at 3 PM today. The assignment process requires constant evaluation and reevaluation of information and priorities. The nurse suggest that the family might need to respite care services. A nurse who is on hormone replacement therapy. 3. Assist a client to ambulate using a gait belt 1. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound The nursing supervisor may be able to assist with client care until another nurse can come in to work. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. Serve milk products separately from meals b. I'll do exercises that strengthen my abdominal muscles As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. Thus, the tasks involve successful management of the charge nurse's responsibilities. A school-aged child with a fractured femur who is in balanced suspension traction. 2. e. Dysuria, 49. d. Transporting a cerebrospinal fluid specimen to the lab 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.