The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. (Select all that apply.). 3. A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. This is normal for clients with hemorrhoids. Incorrect: The nurse is responsible for evaluating a client. Now, in Option #2, we see a dangerous prescription. The nurse on a large surgical unit needs to evaluate several clients returning from procedures. The charge nurse knows what client would be most appropriate for this LPN? Incorrect: This would unnecessarily alarm the clients. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. Only a plain enema or soap enema can be given by the UAP. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? Encourage the client to use self-exploration Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. This protein is released by cells in the stomach. c. Initiate a liquid diet for the client A practical guide to making patient assignments in acute care c. Rephrase statements the client does not hear Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. 1. The nursing supervisor may be able to assist with client care until another nurse can come in to work. It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. 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. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." A charge nurse is making client care assignments. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. 2. However, there are some basic points which are standard among all facilities. A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. 1. d. Go to employee health services, b. Checking capillary refill beneath the client's fingernail a. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. which of the following actions should the nurse perform? Nothing life threatening. 4. 3. What action should the nurse take after mistakenly administering the wrong medication? 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. assignmentcafe.com - A charge nurse is making assignments for nursing Oral surgeon Write N next to the nonessential clauses and E next to the essential clauses. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. 1. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. 3. Which clients should be assigned to the CNA? 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. Send a day's worth of medications with the client to the receiving facility. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. A nurse is providing discharge teaching for a client who requires home oxygen therapy. 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. Select all that apply d. Remove and reinsert the NG tube, a. c. Request a tray without pork a. A nurse is teaching a client who has a history of falls about home safety. d. Water heater temp 54.4 C (130 F) b. Assign more daily tasks to the UAP. a. 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 d. The nurse has already considered alternatives to restraints, a. This client needs careful monitoring and specialized care. 3. c. Palpating for pedal edema 2. Correct: An LPN should be assigned clients with predictable outcomes. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which response by the LPN is appropriate in response to the inappropriate delegation? d. Complete an incident report, 70. What task would be best to assign to the LPN/LVN? Administering IV pain medication to a two day post op client. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. Notify the charge nurse of the observations. Moistening the dentures prior to inserting them b. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. 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. 5. A skill for which the ap has received instruction the - Course Hero Incorrect: The nurse cannot assign teaching to the UAP. Temporary urinary retention (common for clients to develop after removal), 90. Teaching insulin self administration cannot be delegated to the LPN. Four clients arrive for their appointment at a diabetic clinic. Which actions should be instituted by each unit's charge nurse? Correct: Did you notice the hint? Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. 3. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. 4. 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. b. Donation costs are the responsibility of the donor's family and estate Call the client's provider a. Have another nurse guard the medication preparations until the nurse returns 76. 3. A high concentration of carbon monoxide can cause death A two-hour limit on visits discourages quality time. 2. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? A nurse is assessing a client who has narcolepsy. Nursing Brain Sheet 4 Patients - luoe.expertoendermatologia.es An LPN/VN has been floated to the emergency room following a chemical plant explosion. A goal for this client is to use proper body mechanics at all times. (Select all that apply.). 2. Determine which personnel could be sent to the command center. Correct: Communication is important in delegation, as is follow-up. A nurse caring for a client is using active listening skills. 3. Correct: The client may be experiencing a myocardial infarction and requires further assessment. Which of the following activities should the nurse perform in this zone? The report should contain consequences. The below statement corresponds to a numbered sentence in the passage. 1. 1. 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. Based on these findings, to which of the following providers should the nurse request a referral for the client? Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? The client is apparently stable and does not require any advanced assessment skills or specialized care. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? b. a. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Tenderness over the symphysis pubis c. Document in the client's medical record that she completed an incident report with this question, the nurse is using which of the following communication techniques? 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. Evaluate client's safety risk factors. 1 Feed a client that had a stroke 3 months ago. It would not be appropriate to overload this new employee with extra work. Which of the following tasks should the nurse delegate to assistive personnel (AP)? The nurse cannot assign assessment and evaluation of the nursing process to the UAP. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. Read all the current literature related to oral care on unresponsive clients. 4. 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. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. 3. Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. A charge nurse is making client care assignments. d. Establishing the client's secondary medical diagnoses, b. Evaluate pain relief after narcotic administration. The nurse did not trust the new UAP. Ask the RN why the assignment is too heavy. 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. The nurse should call for immediate help so that a safe care environment is maintained for all clients. c. Complete an incident report a. 1. c. Contact b. Which client should the nurse assess first? The client receives home health care and spends most of his day in a reclining chair. 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. What client should the nurse assess first? 4. 4. A nurse is implementing direct nursing care for a group of clients in an acute care facility. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. c. Palpating for pedal edema Accept assignment, documenting personal concerns regarding work conditions. In what order should the emergency department triage nurse send these clients to a room for treatment? & 3. Review the action of insulin therapy Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. When the licensed person cannot determine this, the task should not be delegated. a. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. b. I will bear the weight of my body on my hands A charge nurse is observing a group of newly licensed nurses. Hold the penis at a 30 to 45 degree angle when inserting the catheter a. This should not be delegated to the LPN/LVN. A nurse is administering a cold therapy application to a client. Select all that apply. 4. "The client is weak on the right side, so please assist the client with dressing . A client requesting assistance packing his belongings for discharge later today., 1. The cause of the fall may be cardiac, but the question does not indicate this. b. I'm so sorry to hear about this Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. 4. The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. 3. What is the most appropriate action by the charge nurse? (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago. d. Place the tablet directly into a medication cup, 36. A nurse is caring for a client who frequently attempts to remove his IV catheter. 2. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. 1. 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. Accept the client's behavior as confrontational. b. A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. Client reporting a headache and has a fruity breath. 3. An adolescent client post appendectomy reporting pain. Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. a. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? This can prevent harm to client's. Incorrect: The purpose of a cystogram is to examine the inside of the bladder to confirm the presence or absence of abnormalities, or even obtain a biopsy. a. The nurse should do this when repositioning is needed. 3. d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. 4. Everything will be okay c. Open the right flap with the left hand c. I'll bear weight on my ankle for 10 minutes every hour Administer sodium polystyrene sulfonate enema. Prospectors are considering searching for gold on a plot of land that contains 1.31g1.31 \mathrm{~g}1.31g of gold per bucket of soil. Correct: The medical nurse can be assigned to this client. 3. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. Besides yourself, there are the following staff: Your unit has 12 beds. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. Client with cast to right leg requiring pain medication. Because the charge nurse observes and weighs . 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). A post-cardiac catheterization needing assistance with bedpan. The client states, "I am so nervous about what the doctor might find during the test." What task would be best to assign to the LPN/LVN? Twist at the waist when she moves an object to one side Injuries from a motor-vehicle accident can be life threatening. 4. Making Client Care Assignment NUR 211: Module 4 Assignment Rationale: The patient is stable, she will need to teaching on self-care after a pacer insertion. The RN with 5 years' experience in the Labor and Delivery unit. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. 3. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. The facility has insurance that will cover malpractice litigation The nurse considers various ideas submitted by team members. If a sentence is already correct, write CCC. Battery 2. The area surrounding the insertion site feels warm to the touch c. Washes and rinses her hands for 10 seconds 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 best practice committee works to improve clinical practice based on current research. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. A nurse is admitting a client who has a partial hearing loss. Donning gloves and using a gauze pad to grasp and remove dentures 1. c. Offer the client personal thoughts and beliefs Which of the following findings associated with urinary retention should the nurse expect? The stem does not indicate any loss of neurological function resulting from the seizure activity. A nurse receives a client care assignment from the charge nurse that he believes is unfair. Based on this information,what should the nurse do? Correct: The client who has a cast and requires pain medication is a stable and predictable client. Anyone over age 18 can have an Advanced directive. There are a total of 10 adult clients. Which of the following pieces of PPE should the nurse remove first? 4. Assist ait to ambulate using a gait belt. 3. 5. Discussing a client's surgical procedure with the nurse manager e. Feed a client who had a stroke 3 months ago, 32. What would the approximate meaning of photoelectric be, based on these root words?

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