a charge nurse is making client care assignments

A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. b. 3. Protective (Select all that apply.) There is a trailing zero after the prescribed dose. 3. d. The nurse has already considered alternatives to restraints, a. Which of the following actions indicates that the AP understands the principles of infection control? a. No! Include any relevant statements the client made about the ulcer Did you recognize ureterolithiasis as "kidney stones"? Performing passive range of motion (ROM) on the client with right sided paralysis. Report of feeling pressure It is not a routine task. b. Wash the area of the puncture thoroughly with soap and water A nurse receives a client care assignment from the charge nurse that he believes is unfair. d. Put the side rails up and tell the client to call the nurse before voiding, d. Two nurses using a friction-reducing device (reduces the risk of injury to the nurses and to the client; nurses can use a draw sheet as a friction-reducing device), 38. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. 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. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. Which client should be assigned to the most experienced nurse? The below statement corresponds to a numbered sentence in the passage. 2. The supervisor can only send one LPN/LVN to the floor. Also, making a surgical bed for the client returning from surgery is a basic procedure. 2. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. An Advance Directive includes a Living Will and a Medical Power of Attorney. Client with a T-5 spinal cord injury beginning rehabilitation therapy. 3. The client is reporting anxiety, discomfort, and a feeling of bloating. Gather supplies to prepare room for isolation. Client reporting a headache and has a fruity breath. d. Perception A nurse is caring for a client who is immobile. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. 4. a. I will keep spare crutch tips handy 2. c. I'll need to shave the hair off the skin where I place the electrodes What is the primary factor for the charge nurse to consider when delegating care? 2. Place the client in low Fowler's position Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) c. I will place an area rug at the entry of my bathroom a. Incorrect: The concern here is the client being fed their meal. Sit side-by-side with the client A nurse is performing care activities for a client in the zone of touch that requires his consent. *HURST REVIEW Qbank/Customize Quiz - Leadership A post-cardiac catheterization needing assistance with bedpan. 2) Assist a client to ambulate using a gait belt. 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. This could indicate a worsening of this client's condition. a.) 4. A nurse is preparing medication for a client when another client has an emergency. The nurse is focusing on which of the following elements of the communication process? 3. Which of the following actions should the nurse take to assist the client with feeding? The nurse has just completed a 12 hour shift. Currently, your census is 11, with one empty bed. Incorrect: Moistening the dentures will ease insertion. Notify the primary healthcare provider of transfer completion. 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. When staff do not feel vested in any new process, there is a sense of underappreciation. 3. b. Administering 3 g/hr IV of morphine would be extremely dangerous. 1. d. I will begin once the client's insurance company approves discharge coverage, b. Tenderness over the symphysis pubis In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. Observe the client before taking further actions 3. 6. 2. The nurse should initiate a referral with which of the following members of the interprofessional health care team? d. Determine if the client uses hearing aids, b. Plan all care to be completed in early morning to allow afternoon for visitation. 2. Therefore, this would not be the most appropriate nurse to assign to this client. 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." Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. 1., 2., 3., & 4. Decide which choice fits best in the blank. Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. Lisinopril 20.0 mg PO daily 4. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. Each state BON differs in that also some have treatment programs they administer themselves. c. Open the right flap with the left hand (Select all that apply.). Incorrect: This client does not have a predictable outcome. & 6. Client prescribed antibiotics for cystitis. 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. 3. 4. d. Proceed with the preparation of the patient's surgical procedure, 15. 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. What was the hint? Alcoholic Anonymous 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. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. 5. A charge nurse is making client care assignments. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. 4. (Select all that apply.). c. Request a tray without pork 4. A list of current medications is sent to the facility. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). 4. (Select all that apply.) When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. "The client is weak on the right side, so please assist the client with dressing . a. 2. c. Discard the tablet and obtain another dose of medication 3. 2. A client receiving heparin injections for deep vein thrombosis. a. Report of feeling pressure 4. d. Voided 30 mL frequently Both of these clients are terminal. Incorrect: Although this action appears to be opening lines of communication, the nurse manager is actually fostering animosity in a situation where the outcome is already predetermined. Incorrect: If a report is made to the BON, it should be a factual documentation of specific events and actions, not a statement of impairment. The nurse should use close-ended questions when assessing which of the following factors? b. Teach the UAP to change surgical dressings. Which of the following tasks should the nurse delegate to assistive personnel (AP)? We see that the temperature is already elevated, which makes us worry that infection is present. 4. 2. Which group of clients should she assign to the medical surgical nurse? Notify the nursing supervisor of the situation. 2. A nurse is discussing the norming stage of the group development process with a student nurse. Reach around the pack and open the top flap away from the body, 53. Incorrect: This group of clients needs specific teaching. The client is considered unstable until assessed by the nurse. 1., 2., 4., & 5. c. Raised toilet seats The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. The client must understand the need for restraints 2. Which of the following statements should the nurse make? d. Message, 67. 5. Bargaining A client receiving a blood transfusion that requires monitoring. Select all that apply Which of the following methods should the nurse plan to use? Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Sudden attacks of sleep Where on the body is each type of skin found? 1. A nurse who is breastfeeding her 4 month old. Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. Semi-formed stools are great news! Discussing a client's surgical procedure with the nurse manager 3. Removing the client's dentures Start MgSO4 at 3g/hr IV There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. An LPN/VN has been floated to the emergency room following a chemical plant explosion. The charge nurse is planning assignments on a medical unit Which client Thoracentesis reporting shortness of breath. c. Measurement of residual urine after urination (SATA) -Bathing a client who had an amputation 2 days ago. Two nurses lifting the client under the shoulders However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). 1. 1. 4. Currently, your census is 11, with one empty bed. Select all that apply 3. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? a. b. The nurse should do this when repositioning is needed. Which of the following actions should the nurse take prior to administering the tube feeding? Providing hygiene care to a client who is HIV positive d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. d. Talk with the client's partner, b. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. Client with ureterolithiasis who requires frequent PRN pain medication. There are a total of 10 adult clients. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. This client will also need a lot of education regarding anti-rejection medications. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. 4. a. Which of the following findings should the nurse expect? d. I decline this opportunity at this time, b. 2. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. Photo comes from the Greek word for light. d. Decreased calcium excretion, c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown), 27. What options would be appropriate for the nurse to take? Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. The charge nurse is making client assignments for a neuro-medical floor. c. Palpating for pedal edema The assignment process requires constant evaluation and reevaluation of information and priorities. a. 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. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. 2. When asking the client about his receptiveness to the transfer The unit is short one staff member and will receive a nurse from the medical surgical unit. If you give the magnesium citrate, which is a laxative, what will happen? Everything will be okay The charge nurse should notify the nursing supervisor who will seek additional staff. The best practice committee utilizes current research in their recommendations. d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37. The facility has insurance that will cover malpractice litigation A nurse is caring for a client who is about to have a colonoscopy. 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. The nurse should call for immediate help so that a safe care environment is maintained for all clients. Which of the following responses should the nurse make? c. Hand-off technique 4. The client's self-report of pain severity Warm the feeding solution to the body temperature The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. d. Left forearm, b. c. Gender Based on these findings, to which of the following providers should the nurse request a referral for the client? d. Anger, b. e. Talking with the client's partner, 79. a. Bathtub with rails Handoff and Nursing Report Sheet. As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. 3. The nurse voices his concern to the charge nurse. Accept the client's behavior as confrontational. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. d. Establishing the client's secondary medical diagnoses, b. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? It's just not the right time for me to do this A nurse is caring for a client whose partner asks to speak with the nurse. Client to receive dietary education. Remember airway, breathing and circulation (ABCs). Notify clients that the disaster plan has been put into effect. The nurse considers various ideas submitted by team members. c. I should purchase a carbon monoxide detector for my home They are more direct when discussing issues The RN with 10 years' experience pulled from the ER. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. This is a diabetic clinic. 5. One nurse lifting as the client pushes with his feet A charge nurse is planning client activities for the day. 3. a. Administering IV pain medication to a two day post op client. a. A nurse is admitting a client from a long-term care facility. e. an open perineal wound, 92. Incorrect: It is out of the UAP's scope of practice to administer medication. Incorrect: The nurse is responsible for evaluating a client. 8 Steps for Making Effective Nurse-Patient Assignments a. d. I shouldn't advice you about what is ultimately a personal decision, b. b. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. c. Industry vs inferiority 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. 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. 2. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. Incorrect: This again is assessment which is the role of the RN only. 4. They are able to manage tasks related to basic care. c. Notifying the provider of physical exam findings The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. A nurse who is 10 weeks pregnant. A nurse is providing discharge teaching for a client who requires home oxygen therapy. c. Changing a dressing Drag and Drop the items from one box to the other. A nurse is caring for a client who expresses anxiety about his impending surgery. Solved 77. The nurse in a long-term care facility is making - Chegg Decreased or suppressed respiration are priority. 5. 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. Wrapping the dentures in tissue while the client sleeps A nurse who is on hormone replacement therapy. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. The charge nurse is planning the staff assignments for the clients on a neurological unit. Yes! a. It's unfortunate that I have to be in the hospital for this treatment A nurse is administering a cold therapy application to a client. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). Incorrect: Informing is the same thing as teaching. Review the action of insulin therapy A nurse is caring for an older adult client who has a fractured hip and will require rehab care. Client with chronic emphysema experiencing mild shortness of breath. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. 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 Incorrect: The client does need to have food; however, there is another action that should be performed first. Talk to each nurse about concerns related to assigned clients. The client attempted to climb over the side rails and fell 3. 3. This client can wait until the others are treated. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. 2. The client with cystitis is stable and has a predictable outcome. Obtain a client's consent The LPN can monitor the wound and provide care to the PEG insertion site. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? d. Custard The surgeon initially prescribes a clear liquid diet. The RN with 8 years' experience in the Intensive Care Unit. which client would be most appropriate to assign a licensed practical nurse (lpn)? Speak to the UAP first and then decide if a between meal supplement is needed. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? Respite care allows the primary caregiver time away from day-to-day care responsibilities 3. 1. Ambulating a client who is 2 days post vaginal hysterectomy So what is wrong with option #1? 3. c. Physical therapist When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? 4. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. 2. A person can be designated to make medical decision in the event the client cannot. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. A nurse is creating a discharge plan. b. I will try to anticipate and avoid stressful situations when possible Which of the following approaches should the nurse use when using confrontation? The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data.

Fretguru 2 Instructions, John Deere 1025r 3rd Function Hydraulic Kit, Articles A