d. The nurse has already considered alternatives to restraints, a. Which of the following physiological responses to prolonged immobility should the nurse expect? Incorrect: This group of clients needs specialized care. What task would be best to assign to the LPN/LVN? Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. 2. b. Denial 208 c. I'll need to shave the hair off the skin where I place the electrodes 3. The LPN can monitor the wound and provide care to the PEG insertion site. Respite care provides holistic support and care for a client who is terminally ill c. Document in the client's medical record that she completed an incident report 5. 4. The client post PEG placement is stable. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. So what is wrong with option #1? c. Explore the client's feelings about dietary modifications A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 1. Complete a client assignment sheet for the oncoming staff. 212 Focus on the client's present circumstances instead of his personal stories A client with COPD complaining of shortness of breath on exertion. d. What have you done in the past to cope with this issue? b. d. Proceed with the preparation of the patient's surgical procedure, 15. Which of the following interventions should the nurse include? Delegate 2 nurses to work with the client. The women's health charge nurse is making assignments for the next shift. Which of the following findings should the nurse identify as a safety risk? A charge nurse is making client care assignments. c. Why are you crying? Which group of clients should she assign to the medical surgical nurse? Which of the following info should the nurse include? Involve the client in their plan of care. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. Four clients arrive for their appointment at a diabetic clinic. e. Talking with the client's partner, 79. butter, which contain 16 g of protein, 7 g of carbohydrates, Client diagnosed with Guillain-Barre' who is receiving ventilator support. Incorrect: No, the monitoring is too specific for the med-surg nurse. e. an open perineal wound, 92. Removing the client's dentures a. (SATA) -Bathing a client who had an amputation 2 days ago. c. Hand-off technique Besides yourself, there are the following staff: Your unit has 12 beds. c. The restraints should promote the client's safety and prevent injuries Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. Incorrect: Is phantom pain something that is unexpected with above the knee amputations? What task would be best to assign to the LPN/LVN? Assist a client to ambulate using a gait belt b. 3. 4. Serve food that have a hot/cold balance Based on these findings, to which of the following providers should the nurse request a referral for the client? Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. 1. This protein is released by cells in the stomach. A nurse is caring for a client who is scheduled for an elective surgical procedure. a. The nurse suggest that the family might need to respite care services. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. b. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. What is the appropriate assignment? Triage and assign color-coded tags to each client. 1. b. Which of the following is the priority action by the nurse? Which action by an unlicensed nursing assistant would require the nurse to intervene? An adolescent client post appendectomy reporting pain. Incorrect: This prescription is written correctly. Warm the feeding solution to the body temperature d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. 3. d. Complete an incident report, 70. 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. d. Lean back in the chair, b. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. A charge nurse is observing a group of newly licensed nurses. The RN will also need to be in communication with the assisted living facility to ensure that they have are a support system for the patient and her follow up care with her pacer. 3. The nurse is planning care for a client admitted with Alzheimer's Disease. This is normal for clients with hemorrhoids. The nurse should not lecture, scold or argue with the float nurse. Checking capillary refill beneath the client's fingernail Photo comes from the Greek word for light. Each state BON differs in that also some have treatment programs they administer themselves. A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following statements should the nurse identify as an indication that the client understands the discharge information? When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? No! 3. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. 3. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. This is outside the scope of practice for the LPN/LVN. Which of the following instructions should the nurse include? A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. 3.
*HURST REVIEW Qbank/Customize Quiz - Leadership 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? b. 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. 3. This would be out of the UAP's scope of practice. 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. d. Talk with the client's partner, b. 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. Correct: Did you notice the hint? b. b. 2. a. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. 2. 3. 1. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Initiative vs guilt 3. 6. b. Urinary frequency for several days Client eating a simple-carb snack due to weakness. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. What is the primary factor for the charge nurse to consider when delegating care? 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. This documentation should go to your manager. 2. It's unfortunate that I have to be in the hospital for this treatment nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. Reporting laboratory findings to a member of the client's family To confirm the placement of the NG tube Nothing by mouth (NPO). To which of the following rooms should the nurse assign the client?
M4 Client Care Assignment.pdf - Making Client Care 3.
a charge nurse is making client care assignments for the day. which 3. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department A nurse is caring for a client who frequently attempts to remove his IV catheter. The client was lying on the floor next to his bed 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 Protective The RN with 8 years' experience in the Intensive Care Unit. The nurse prefers to check all vital signs on all clients. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Refuse the assignment, being prepared for disciplinary action. This could cause a medical emergency. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Document current functional status assessment Feedback 1. Elderly clients have special fluid and electrolyte issues after a fall. The provider must renew a restraint prescription every 8 hr. 4. 5. d. Explain the procedure to the client if they do not understand, c. Lock the medication in a room and finish preparing it after returning from the emergency (securing them and returning later to finishing preparing and administering them decreases the risk of medication errors), 72. 1. b. a. Auscultate breath should at least ever 2 hr Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. c. Consensus evolves in this stage 1. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. Ask the charge nurse to evaluate the intervention. Request a prescription for a medication to ease the client's anxiety is a new graduate in orientation. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. b. 2. b. I will keep the fluorescent ceiling light on in my room at night 4. A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. Showing disapproval 1. Documentation is a communication tool for the interprofessional health care team. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. (a) HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010\mathrm{HCN}(a q)+\mathrm{H}_2 \mathrm{O}(l) \longrightarrow \mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{CN}^{-}(a q); K=4.9 \times 10^{-10}HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010 3. 2. 4. and 16 g of fat. 4.
A Charge Nurse Role: The Ultimate Guide. The nurse also needs to be aware of the color and amount of urine voided. 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. & 4. The nurse is reviewing some clients' prescriptions. Channel d. Do you think crying will help? Administer tap water enemas until clear at 6 AM. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. b. A high concentration of carbon monoxide can cause death Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. 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. The nurse voices his concern to the charge nurse. Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). There may be a good reason that the tray was not served. b. I will begin once the client's discharge order is written Incorrect: It is out of the UAP's scope of practice to administer medication. 5. 4. 3. b. Emptying a urinary drainage bag for a client who has pneumonia A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. In what order should the emergency department triage nurse send these clients to a room for treatment? 4. A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. The nurse has been assigned four clients. This is not a situation that requires the LPN to notify the primary healthcare provider. Rewrite each incorrect sentence to correct the error. 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. The option does not say the client is terminal, in a vegetative state, or in a coma. c. Distended bladder which client would be an appropriate care assignment for this lpn? 5. The nurse asks why the client needs to know this.
NUR 212 Patient assignments.docx - M2.4: Making Client Care It is quicker to administer medications intravenously in the hospital Feed a client that had a stroke 3 months ago. Notify the charge nurse of the observations. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34.
When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. A nurse is preparing to obtain a blood specimen from a client by venipuncture. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. c. I will cover the catheter so he cannot see it 3. Which of the following statements should the nurse make? 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. What is the major histological difference between thick and thin skin? a. Clarifying d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. Determine caregiver's stress level and coping strategies. Discuss the assignment with another LPN. Two hours . Thoracentesis reporting shortness of breath. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. 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. d. Highly concentrated urine, 91. c. Blood-tinged urine 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? 4.
Fundamentals Practice Flashcards | Quizlet The nurse received a client following surgery 8 hours ago. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. 4. Incorrect: The nurse retains the responsibility for the delegated task. The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Client who has multiple injuries from a motor vehicle accident. Incorrect: This is not completely practical for everyone. the nurse responds: "It must be very frustrating to encounter this kind of attitude." Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. 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. Incorrect: What seems to be going on with this client? d. I decline this opportunity at this time, b. 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. Which of the following statements should the nurse make? d. Droplet, d. Bend at the knees when picking up an object, 98. Which of the following actions should the nurse take? Incorrect: This response overlooks a potentially severe problem.
Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. b. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" c. Respite care helps relieve pain and promote comfort 3. Incorrect: This group of clients needs specific teaching. 1., 2., 3., & 4. 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. When determining if the client is eating a well-balanced diet a. Which of the following actions indicates that the AP understands the principles of infection control? There is a possibility that a hypothermia blanket may be prescribed. d. Bend at the knees when picking up an object, 99. 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. a. 4. (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. 1. b. Occupational therapist The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back). Which of the following statements should the nurse identify as an indication that the client needs further teaching? 1. Estimate the number of Calories in two tablespoons of peanut 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. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. Report of feeling pressure A new UAP is efficiently completing all daily assignments accurately and in a timely manner. A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. c. To determine the client's electrolyte balance A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines. Which of the following findings should the nurse expect? 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. d. They disclose more personal information, a. Which of the following tasks should the charge nurse reassign to a licensed nurse? a. 3. What is the best response by the charge nurse? A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. Refuse the overtime assignment, being prepared for disciplinary action. c. Notifying the provider of physical exam findings A nurse is assessing a client at a follow-up clinic for acute low back pain. 1. 1., 3, & 4. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. Both of these clients are terminal. Autonomy vs shame and doubt Encourage client to express grief related to loss of independence. 6. This client is stable and predictable. Left upper forearm Which of the following actions should this nurse take? A nurse is caring for a client who is postoperative following abdominal surgery. 3. Speak to the UAP to determine what happened with the feeding. The client's self-report of pain severity 4. c. Gender This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). 4. However, it remains true pain for this client and the client would need intervention to help manage this pain.
A charge nurse is making client care assignments for the day. which 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. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. 4. d. Voided 30 mL frequently Have a pen and paper handy Incorrect: Moistening the dentures will ease insertion. Airborne (Select all that apply.) The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. For which of the following tasks should the nurse wear protective eye equipment. one of the licensed practical nurses Get the answers you need, now! Incorrect: The scope of practice for the UAP encompasses basic personal care needs, ambulating, and taking vitals; however, the nurse must still verify that all tasks are accomplished in a safe manner. What should the nurse do first? d. Wait to discuss the behavior in the presence of others, a. 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. Teaching is not in the role of the LPN and therefore, this client would need to be assigned to the RN, not the LPN, for the teaching needs of the client. b. Correct: The UAP can remind the client to do something that has already been taught by the nurse. Which clients should be assigned to the CNA? In order to reorganize staffing, the nurse manager should initiate which action first? b. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. Aplastic anemia is a rare but serious condition. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. 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. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns.