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";s:4:"text";s:14991:"b. Wash the area of the puncture thoroughly with soap and water The surgeon initially prescribes a clear liquid diet. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? 2. c. There is fluid leaking around the insertion site 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. 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. 2. Where on the body is each type of skin found? An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. b. A charge nurse is making assignments for an oncoming shift. 5. b. 4. 4. Ambulating a client who is 2 days post vaginal hysterectomy Which of the following statements should the nurse make? a. I will begin 48 hr before the client's discharge 5. The client asks the nurse, "Why do I need that? Administering 3 g/hr IV of morphine would be extremely dangerous. A nurse is caring for an older client who is at risk for skin breakdown. 5. 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. and 16 g of fat. 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 A nurse is implementing direct nursing care for a group of clients in an acute care facility. Ask the charge nurse to evaluate the intervention. For which of the following tasks should the nurse wear protective eye equipment. 1. A nurse is working with an assistive personnel (AP) to b. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Who should the nurse see first? This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. 1. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? When a family member asks how respite care can help, which of the following responses should the nurse provide? Sudden attacks of sleep 3. Which of the following actions should the nurse take? b. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). c. Take the client to the bathroom every 2 hr c. I'll wear low heeled shoes from now on Prior to shift report, the charge nurse is making assignments for the nurses on the shift. c. Palpating for pedal edema This is outside the scope of practice for the LPN/LVN. A nurse is caring for a client who expresses anxiety about his impending surgery. The LPN should refuse the intervention. Electric cords behind the furnitrure Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? d. I decline this opportunity at this time, b. Reach around the pack and open the top flap away from the body, 53. Besides yourself, there are the following staff: Your unit has 12 beds. Removing the client's dentures b. This referral would be appropriate. Which of the following statements should the nurse identify as an indication the client needs further teaching? Give magnesium citrate 296 mL at 3 PM today. 3. c. One nurse lifting the client's legs as the client uses a trapeze bar Respite care allows the primary caregiver time away from day-to-day care responsibilities When asking the client about his receptiveness to the transfer Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. Tenderness over the symphysis pubis The client states, "I'm feeling a bit nervous today." Based on this information,what should the nurse do? Incorrect: This would unnecessarily alarm the clients. The client attempted to climb over the side rails and fell b. Receive report from the emergency department (ED) on a new client. Assist a client to ambulate using a gait belt. I'm drinking plenty of fluids." Which of the following findings should the nurse expect? A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. 6. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? 1. d. Social conversation, a. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Which clients should be assigned to the CNA? A nurse is discussing the norming stage of the group development process with a student nurse. The reason for the UAP not feeding the client needs to be determined. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. What is the best response by the charge nurse? Incorrect: A client diagnosed with Guillain-Barre' is mentally competent and being on a ventilator does not indicate that the client has lost decision-making capacity. In what order should the nurse assess assigned clients following shift report? 3. c. Notifying the provider of physical exam findings It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). Elderly clients have special fluid and electrolyte issues after a fall. Report of feeling pressure The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. An adolescent client post appendectomy reporting pain. b. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. The client can indicate desire for Do Not Resuscitate (DNR). A nurse is caring for a client who frequently attempts to remove his IV catheter. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. C-section planning discharge, postpartum infection, mastectomy. 2. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? ATI Leadership and Management Questions - Leadership Management of Care Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. a. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Administer sodium polystyrene sulfonate enema. 4. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Talk to each nurse about concerns related to assigned clients. Make nursing assignments appropriate to the skill level . The charge nurse asks the nurse who works in a state where mandatory overtime is legal to work an additional 8 hours of mandatory overtime. This service focuses on teaching the primary caregiver to meet the client's needs The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. a. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. Serve milk products separately from meals 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. b. d. principal. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. A charge nurse is planning client activities for the day. Which of the following statements should the nurse identify as an indication that the client needs further teaching? 1. Select all that apply Incorrect: This group of clients needs specific teaching. A nurse receives a client care assignment from the charge nurse that he believes is unfair. This stage is when testing occurs to identify boundaries of interpersonal behaviors b. Emptying a urinary drainage bag for a client who has pneumonia 2. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? Correct: If suspicious behavior occurs, it is important to keep careful, objective records. An Advance Directive includes a Living Will and a Medical Power of Attorney. In what order should the emergency department triage nurse send these clients to a room for treatment? The charge nurse is making client assignments for a neuro-medical floor. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? Doing this at the end of the shift could prevent completion of the client assignment sheet for the next shift and possibly create unnecessary overtime for the charge nurse. Teaching about a medication Which of the following indications should the nurse include? Stand directly in front of the client A nurse is creating a discharge plan. 1., 2., 4., & 5. d. Breathing in carbon monoxide can cause headaches and nausea, c. Take the client to the bathroom every 2 hr (this establishes a regular pattern of toileting and the client learns to trust that the staff will place value on his bladder-training needs), 59. It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. b. Client with chronic emphysema experiencing mild shortness of breath. A client with epilepsy reporting an odd smell in the room. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. What task would be best to assign to the LPN/LVN? Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? a. Bathtub with rails Which nursing intervention should the charge nurse implement? Incorrect: Moistening the dentures will ease insertion. An experienced person who can research "best practice" regarding the issue is needed. 77. Provide an adaptive feeding device for the client Which of the following statements should the nurse identify as an indication that the client understands the discharge information? Elevating the head of the bed 30- 40 for the client post thoracotomy 1. Remember airway, breathing and circulation (ABCs). Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. 1., 2., 3., & 4. d. I have a set of my brothers' crutches in the basement I can also use, a. A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following client statements should indicate to the nurse the need for additional teaching? The abdominal pain is worsening. d. The nurse has already considered alternatives to restraints, a. a. d. Providing information, a. December 5, 2020. The nurse considers various ideas submitted by team members. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. c. Do not eat or drink anything the morning of the test Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. Which clients could be assigned to an LPN? The nurse can also accept the assignment; however, that nurse should document professional concern for client safety and the process you used to inform the facility (manager) of your concerns. 4. b. Grape juice 4. b. 2. 1. (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago. The charge nurse on the postpartum unit is making assignments. Check environment for potential safety hazards. 6. (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 _____The house that we lived in for nine years has been sold. c. Document in the client's medical record that she completed an incident report 1, 3 & 5. Making client care assignments As the RN charge | Chegg.com Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? The best practice committee utilizes current research in their recommendations. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. d. Droplet, d. Bend at the knees when picking up an object, 98. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. Warm the feeding solution to the body temperature Which of the following tasks should the nurse delegate to assistive personnel (AP)? Ask the client to perform a return demonstration of insulin injection b. 1. 4. 3. Following a large hurricane, multiple clients arrive at the emergency room for treatment. Soaking the dentures in hot water 2. 55. 3. Assigning blame for the changes to administration will not help staff adjust. 1. 1. d. I will take my medications at the first sign of an attack, d. To identify delayed gastric emptying (the nurse should measure the amount of unabsorbed formula from the previous feeding to identify delayed gastric emptying; if it is delayed the nurse should avoid overfeeding the client and causing gastric distention), 42. ";s:7:"keyword";s:48:"a charge nurse is making client care assignments";s:5:"links";s:358:"Life After Gallbladder Removal Pros And Cons, Are James Coburn And Lee Marvin Related, Articles A
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