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a charge nurse is making client care assignments
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Which task would be appropriate for the nurse to assign to an LPN/VN? It is quicker to administer medications intravenously in the hospital d. Proceed with the preparation of the patient's surgical procedure, 15. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. Two hours . The other options may be correct but are not the best first action. c. One nurse lifting the client's legs as the client uses a trapeze bar Turning off continuous tube feeding to reposition a client, then turning the feeding back on. During the admission of pediatric client with a compound fracture of the right femur following a sports injury, which delegation by the charge nurse is most appropriate? The nurse could definitely be part of the committee. It is within the LPNs scope of practice to administer antibiotics. a. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. a. c. Can you tell me why you chose me? Assist a client to ambulate using a gait belt 3. a. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. Donning gloves and using a gauze pad to grasp and remove dentures 1. 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. 2. 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 5. Place the client in low Fowler's position . b. Donation costs are the responsibility of the donor's family and estate 1. d. Place the tablet directly into a medication cup, 36. 1., 2., 3., & 4. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? d. Respite care is a continuation of psychological support after a family member dies. Notify the primary healthcare provider. c. 214 If you give the magnesium citrate, which is a laxative, what will happen? Which of the following types of communication breakdown does this response represent? a. Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. c. Hand-off technique 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? Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. Which of the following tasks should the charge nurse reassign to a licensed nurse? b. Incorrect: This group of clients needs specialized care. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. 4. a. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. Sit side-by-side with the client d. I have a set of my brothers' crutches in the basement I can also use, a. The key word in the stem is first. d. Routine acquisition of a urine specimen a. c. I will cover the catheter so he cannot see it Lumbar puncture reporting a headache. It also helps the client deal with issues that are important to him), 19. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. The surgeon initially prescribes a clear liquid diet. A nurse asks a client how he is feeling. c. Rephrase statements the client does not hear Which of the following actions should the nurse take prior to administering the tube feeding? The nurse voices his concern to the charge nurse. A nurse is caring for a client who is postoperative. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. Administer sodium polystyrene sulfonate enema. 1. 3. d. Sleep apnea It happened so long ago - just get over it!" Which of the following actions should the nurse take? (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 Personal liability coverage is not mandatory, but you should consider purchasing your own coverage 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. 1. c. I'll need to shave the hair off the skin where I place the electrodes Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Which of the following activities should the nurse perform in this zone? 2. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. Thoracentesis reporting shortness of breath. 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. b. Grape juice 2. Assist client to brush and floss teeth. 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. A. 6. 4. b. 1 5. 2. 77. What is the most appropriate action by the charge nurse? 1. This service began with the client's admission to the hospital He charge nurse is making client care assignments for the evening shift. 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. Incorrect: This client does not have a predictable outcome. Select all that apply 3. A client requesting assistance packing his belongings for discharge later today., However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). Twist at the waist when she moves an object to one side 2. Give magnesium citrate 296 mL at 3 PM today. Client with a T-5 spinal cord injury beginning rehabilitation therapy. "Please explain what you mean by the word 'nervous'.". Assist a client to ambulate using a gait belt 4. b. Irrigate the wound with an antiseptic prior to obtaining the specimen If a sentence is already correct, write CCC. A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. Incorrect: This again is assessment which is the role of the RN only. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. The cleint's family asks the nurse for info about this type of care. a.) A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. Correct: This group of clients is primarily med surgical. a. b. c. Helping the client into the shower 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. If you are new to this challenge, try these eight tips as a guide for making nurse-patient assignments. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? Request a prescription for a medication to ease the client's anxiety Warm the feeding solution to the body temperature Which of the following explanations should the nurse provide? Have another nurse finish preparing the medications Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). *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. An adolescent client post appendectomy reporting pain. c. Paraphrasing Correct: If suspicious behavior occurs, it is important to keep careful, objective records. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. We see that the temperature is already elevated, which makes us worry that infection is present. For which of the following actions should the nurse intervene? Which of the following actions should the nurse take? c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). 4. Which client would be appropriate for the RN to assign to the LPN? Thus, the tasks involve successful management of the charge nurse's responsibilities. Use the tablet's packaging to pick it up from the counter Tenderness over the symphysis pubis Which of the following nontherapeutic communication techniques is the nurse using? Select all that apply What proposal would the nurse determine to best meet the needs of families and clients in long term care? Correct: Did you notice the hint? A charge nurse is making client care assignments. d. Let's wait until tonight to see if he continues his behavior, 63. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Client prescribed antibiotics for cystitis. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Client who has multiple injuries from a motor vehicle accident. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. Most of the following sentences contain errors in the use of modifiers and comparisons. Incorrect: The nurse is responsible for monitoring a client. b. I should call my doctor if I find it harder to concentrate 3. b. I'm so sorry to hear about this Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? Which of the following statements by the student indicates understanding of the discussion? 1. Identify and assess each incoming client. d. Custard Female client stating she has been raped. 4. Make nursing assignments appropriate to the skill level . The charge nurse is developing patient care assignments for the evening shift and needs to assign clients to a licensed practical nurse/licensed vocational nurse (LPN/LVN) and a certified nursing assistant (CNA). b. Explain administration is demanding a decreased overtime. a. 1., 3, & 4. 1. 4. The best practice committee works to improve clinical practice based on current research. b. Select all that apply. Lisinopril 20.0 mg PO daily c. Blood-tinged urine Serve milk products separately from meals 2. Photo comes from the Greek word for light. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) Which of the following actions should the nurse take? A nurse is discussing the norming stage of the group development process with a student nurse. d. Droplet, d. Bend at the knees when picking up an object, 98. c. Gender Client one day post kidney transplant. The charge nurse might not have realized all the responsibilities of taking this team of clients. Discuss the competency of the surgeon Each state BON differs in that also some have treatment programs they administer themselves. Ask for any staff objections to rearranging work hours. a. 1., 2., 4., & 5. b. 4. c. Decreased sodium excretion a. which of the following actions should the nurse perform? The client states, "I am so nervous about what the doctor might find during the test." A client requesting assistance packing his belongings for discharge later today.. b. The client asks the nurse, "Why do I need that? Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. d. The nurse has already considered alternatives to restraints, a. A nurse who is breastfeeding her 4 month old. 3. Determine caregiver's stress level and coping strategies. b. I can detect the presence of carbon monoxide by a metallic odor Which of the following findings should the nurse expect? 3. a. I'll provide more stimulation in his environment c. Offering false reassurance Which of the following client statements indicates an understanding of the procedure? a. (Select all that apply) In what order should the emergency department triage nurse send these clients to a room for treatment? The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). 4. Limit the client's fluid intake in the evening Besides yourself, there are the following staff: Your unit has 12 beds. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. 1) Bathe a client who had an amputation 2 days ago. b. Based on these findings, to which of the following providers should the nurse request a referral for the client? Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. The provider must renew a restraint prescription every 8 hr. So what is wrong with option #1? Report the incident to the charge nurse Discarding the first urine voided by the client starting a 24 hour urine test. Which prescription should the nurse question and have corrected? Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. Which of the following types of torts has the nurse committed? Briefly assess every client. d. When asking if the client took his medications this morning, 82. A nurse is administering a cold therapy application to a client. Which tasks should the charge nurse delegate to the nursing assistant? Incorrect: This is not completely practical for everyone. b. Four clients arrive for their appointment at a diabetic clinic. 1. c. Face shield This individual should be provided appropriate comments of appreciation for this accomplishment. a. Incorrect: This prescription is written correctly. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? So, now you must decide which of these high priority clients should be seen in what order. c. Why are you crying? Airborne Client diagnosed with Guillain-Barre' who is receiving ventilator support. The facility has insurance that will cover malpractice litigation To focus on effective learning with this client, which of the following interventions should the nurse use? 4. 2. Which actions should be instituted by each unit's charge nurse? Because the charge nurse observes and weighs . 4. A nurse is filling out an incident report after finding a client lying on the floor. c. Contact a. Assign a nursing assistant to help the client with self-care activities. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. c. Open the right flap with the left hand A client on a surgical unit frequently quarrels with the staff. 1. 3. c. Notify the nurse manager Underline the adjective clause in each sentence. A Medical Power of Attorney is a type of Advance Directive that appoints a health care agent to make decisions on the client's behalf when the client is unable to do so. This documentation should go to your manager. b. I will keep the fluorescent ceiling light on in my room at night A nurse is admitting a client from a long-term care facility. Have a pen and paper handy
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