4. Two nurses lifting the client under the shoulders 2. 2) Assist a client to ambulate using a gait belt. Nursing questions and answers. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. Nothing life threatening. Briefly assess every client. Document current functional status assessment A medical-surgical LPN has been sent to a short-staffed pediatric unit. 2. A client with COPD complaining of shortness of breath on exertion. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. (Select all that apply.). Measure urine output when client voids. Wrapping the dentures in tissue while the client sleeps 6. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. 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. a. Reposition the client every 3 hr 4. The best practice committee works to improve clinical practice based on current research. Select all that apply. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. c. Environment Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. This should not be delegated to the LPN/LVN. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. A nurse is admitting a client from a long-term care facility. There will likely be both physical and emotional injury that needs attention, which places this client third. Select all that apply The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. assignmentcafe.com - A charge nurse is making assignments for nursing This client should report an improved respiratory, not shortness of breath. c. Industry vs inferiority 2. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" When the licensed person cannot determine this, the task should not be delegated. Incorrect: This prescription is written correctly. 4. a. a. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. 4. What would the approximate meaning of photoelectric be, based on these root words? Placing the traction weights on the bed to transfer the client to x-ray. d. Wait to discuss the behavior in the presence of others, a. A goal for this client is to use proper body mechanics at all times. The nurse chooses to confront the client. c. I'll need to shave the hair off the skin where I place the electrodes c. Measurement of residual urine after urination 1. Show client who has conjunctivitis how to clean the eyes. b. Negligence a. I will begin 48 hr before the client's discharge Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. a. I'll provide more stimulation in his environment 4. If you give the magnesium citrate, which is a laxative, what will happen? b. The client can indicate desire for Do Not Resuscitate (DNR). 5. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. B. The client asks about his medications and their effects. This would be out of the UAP's scope of practice. leadership management of care nurse on unit is providing care for group of clients. Incorrect: The RN is responsible for developing the plan of care which would include necessary referrals. b. This service focuses on teaching the primary caregiver to meet the client's needs Which clients could be assigned to an LPN? Allow families unlimited visitation around the clock to meet their schedules. Incorrect: The RN is responsible for collecting data. What action should the nurse take after mistakenly administering the wrong medication? b. b. d. I have a set of my brothers' crutches in the basement I can also use, a. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. The client would develop severe cramping. The nurse should use close-ended questions when assessing which of the following factors? Correct: If suspicious behavior occurs, it is important to keep careful, objective records. 3. a. I will keep my walker at the end of my bed b. Which of the following actions is the priority for the nurse to include in the client's plan of care? 3. c. Use an aggressive tone of voice 2. c. Respite care helps relieve pain and promote comfort Irrigate a client's ear canal. d. Expect minor discomfort after the procedure, b. I will come back later and we can talk (offers herself to client which encourages open communication). 7. Based on this information,what should the nurse do? There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. d. Providing information, a. Check environment for potential safety hazards. 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. c. Nonfat milk Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. Yes! Sudden attacks of sleep This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. Symbolic communication a. I'll sit with my knees lower than my hips b. 1. 4. 1. 2. d. Sleep apnea A nurse is assessing a client at a follow-up clinic for acute low back pain. 1. Explore the client's feelings A nurse is orienting a new assistive personal (AP) to the unit. 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 Determining the client's length of stay The nurse on a large surgical unit needs to evaluate several clients returning from procedures. The client attempted to climb over the side rails and fell Which of the following of Erikson's developmental stages should the nurse consider in the planning? Splitting the overtime shift is an acceptable option that the nurse could suggest in order to solve the staffing problem and decrease the amount of time the nurse will be working. a. A school-aged child with a fractured femur who is in balanced suspension traction. Obtain a bedside commode for the client's use Wears a gown when entering the room of a client who requires contact precautions Correct: The client must have lost decision-making capacity because of a condition that is not reversible or must be in a condition that is specified under state law, such as a terminal, persistent vegetative state, irreversible coma, or as specified in the Advanced Directive. a. Printable Nursing Brain SheetPrintable Nursing - soyu.caritaselda.es a. A nurse is caring for a client who is postoperative following an appendectomy. Select all that apply. b. Documentation of what occurred, and the client's assessment is required in the nurse's notes. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? Which of the following actions should the nurse take? 4. c. Washes and rinses her hands for 10 seconds, 11. 1. It's unfortunate that I have to be in the hospital for this treatment Only a plain enema or soap enema can be given by the UAP. Correct: An LPN should be assigned clients with predictable outcomes. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. 3. A nurse is caring for a client who has a mental health disorder. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. 5. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? 1. Which client should the nurse assess first? Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. Incorrect: The nurse is responsible for evaluating a client. Incorrect: The charge nurse does not have to assess every client. Which of the following actions indicates that the AP understands the principles of infection control? If the client is unstable, the nurse would retain the role of measuring the vital signs. The client should be assessed first to rule out respiratory difficulty and hemorrhage. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. Client eating a simple-carb snack due to weakness. Gown Complete blockage of the large intestine. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. 2. c. Hand-off technique A client requesting assistance packing his belongings for discharge later today., Compartment syndrome could be developing which can impede circulation and cause nerve damage. Select all that apply. b. Wash the tablet off with alcohol and place it in a clean medicine cup Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. 2. Which of the following nontherapeutic communication techniques is the nurse using? PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. The client asks the nurse, "Why do I need that? 3. 4. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. d. Transporting a cerebrospinal fluid specimen to the lab After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Remind the client that a signed informed consent form is a legally binding document Ask the client to perform a return demonstration of insulin injection They are more direct when discussing issues 3. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. Incorrect: Medications are not transferred with the client to a new facility. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. Initiative vs guilt Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) 1. 4. The expected standard of care was strict bed rest), 96. Accept assignment, documenting personal concerns regarding work conditions. 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. Ask the charge nurse to evaluate the intervention. Which of the following instructions should the nurse include? Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 3. c. Changing a dressing, 78. 1. Select all that apply The charge nurse is planning the staff assignments for the clients on a neurological unit. a. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. Assist client to brush and floss teeth. 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. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. 2. Decreased or suppressed respiration are priority. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. b. Assessing this client and titrating the diltiazem requires the skills of an RN. 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. 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? The nurse is focusing on which of the following elements of the communication process? The situation should be explored before bringing the supervisor in on the situation. *HURST REVIEW Qbank/Customize Quiz - Leadership d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. 3. 212 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. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). Taking the report from the ED could be delayed but is a courtesy to the ED and will provide information about the client that will be useful in making assignments for the next shift. A nurse is caring for a client who states, "I have got to get out of this hospital! The client receives home health care and spends most of his day in a reclining chair. a. Which of the following findings should the nurse identify as a safety risk? 4. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. 5. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. The other options may be correct but are not the best first action. Stand directly in front of the client Encourage client to express grief related to loss of independence. Start MgSO4 at 3g/hr IV They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. 1. Which clients should be assigned to the CNA? Drag and Drop the items from one box to the other. The RN with 10 years' experience pulled from the ER. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. Speak to the UAP to determine what happened with the feeding. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. a. a. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. Autonomy vs shame and doubt Correct: The client has the right to be involved in the decision making of their care. (Select all that apply.) b. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. 1., 2., 3., & 4. December 5, 2020. Select all that apply. 4. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. d. Reduced blood viscosity, a. Auscultating heart sounds Assist a client to ambulate using a gait belt Sit side-by-side with the client Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. 2. 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). 3. Which of the following interventions should the nurse include? a. This is a task that can be delegated to the LPN/LVN. 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. 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." c. Provide the client with a diet high in protein b. c. Physical therapist 4. Incorrect: What seems to be going on with this client? 3. c. They tend to use more verbal communication What proposal would the nurse determine to best meet the needs of families and clients in long term care? All these clients have a GI problem. b. 4. 1. This will take a lot of time, and the charge nurse can get the information needed from the nurses caring for the clients in order to make appropriate client assignments for the next shift. Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. The option does not say the client is terminal, in a vegetative state, or in a coma. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Select all that apply b. 4. A client diagnosed with rheumatoid arthritis needing discharge teaching. TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? 4. d. I'll put a heating pad on my ankle at bedtime tonight, d. I have a set of my brothers' crutches in the basement I can also use (the client should not use crutches that belong to someone else; the crutches must fit body dimensions), 17. b. The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. a. Decreased RBC production Furosemide 40 mg PO q.d. d. Perception What is the primary factor for the charge nurse to consider when delegating care? Rewrite each incorrect sentence to correct the error. 3. Also, making a surgical bed for the client returning from surgery is a basic procedure. 4. Serve milk products separately from meals Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER c. Do not eat or drink anything the morning of the test 8. A nurse is caring for a client who has emphysema and has difficulty with mobility. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. Each ROM movement should be repeated 5 times during the session. The client's self-report of pain severity, 88. This is an elderly client who is a new admit. 3. 5. (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 4. 2. 4. c. I'll bear weight on my ankle for 10 minutes every hour c. I will make sure my visitors smoke outside 4. A charge nurse on an acute care unit is planning care for a client a. Give magnesium citrate 296 mL at 3 PM today. A nurse is planning care for a female client who has an indwelling urinary catheter. c. I should purchase a carbon monoxide detector for my home The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). On an ongoing basis, the charge nurse evaluates individual and collective outcomes of the patient care provided during their shift, compares patient care delivery to accepted standards, adjusts assignment of resources as necessary, and reports changing needs and outcomes to the health care staff. Refuse the assignment, being prepared for disciplinary action. 3. c. Confrontation b. Assess the client Who should the nurse see first? 5. a. Auscultating heart sounds Client one day post kidney transplant. Tenderness over the symphysis pubis A person can be designated to make medical decision in the event the client cannot. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. A nurse enters an older adult client's room to insert a saline lock. c. I will inspect my crutches everyday for signs of wear The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? 1. _________________ (magnanimous), a. generous Which of the following should the nurse include as a criterion for applying restraints? Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. 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. Alcoholic Anonymous 2. 4. a. They are likely to wait for others to initiate conversation There is a trailing zero after the prescribed dose. A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. a. 3. Encourage clients and families to develop mutually appropriate visitation times. A client who is disoriented and awaiting transfer to a long-term care facility. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. Call the client's provider Correct: Communication is important in delegation, as is follow-up. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. Flashcards - chapter 7 - FreezingBlue The cleint's family asks the nurse for info about this type of care. However, there are some basic points which are standard among all facilities. 1. b. 3. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. 1. b. The assignment process requires constant evaluation and reevaluation of information and priorities. Client who is a diabetic experiencing diabetic neuropathy. 2. Which of the following actions should the nurse include in the plan? a. b. In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. This is an appropriate and safe action for the unlicensed nursing assistant to do. c. 214 4. The charge nurse knows what client would be most appropriate for this LPN? d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound

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