a charge nurse is making client care assignments a charge nurse is making client care assignments

Select all that apply. 2. Remember, pick the killer answer first! a. 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. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" American Sickle Cell Anemia Association The surgeon initially prescribes a clear liquid diet. a. Incorrect: The RN is responsible for assessment and evaluation of clients. Performing passive range of motion (ROM) on the client with right sided paralysis. 4. 2., 3. Did you recognize ureterolithiasis as "kidney stones"? b. I will keep the fluorescent ceiling light on in my room at night c. Offer the client personal thoughts and beliefs a. Auscultate breath should at least ever 2 hr Gathering needed equipment and supplies is within the scope of duties for the UAP. 1. The client with chronic emphysema has expected shortness of breath. Thus, the tasks involve successful management of the charge nurse's responsibilities. Stand directly in front of the client Reporting laboratory findings to a member of the client's family a. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. a. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. 2. The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. 9. "Please explain what you mean by the word 'nervous'.". e. Feed a client who had a stroke 3 months ago, 31. Oral surgeon d. Discussing intake and output What client should the nurse assess first? Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. -Review a low-sodium diet for a client who has HTN 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. Client with ureterolithiasis who requires frequent PRN pain medication. Which client should the nurse assess first? 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. The healthcare team should recognize the client as the center of the team. 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. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? c. Visual observation for nonverbal signs of pain The nurse is planning care for a client admitted with Alzheimer's Disease. Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. 4. b. c. Why are you crying? Which of the following responses should the nurse make? 2. This can prevent harm to client's. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. e. Feed a client who had a stroke 3 months ago, 32. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Explain to the RN that all the nurses have the same number of clients. b. d. Two nurses using a friction-reducing device, d. Use attentive listening with the client (when establishing presence, eye contact, body language, voice tone, listening, and reflection convey openness and understanding), 39. A nurse is caring for a client who is postoperative following an appendectomy. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 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. A nurse is preparing an education presentation about organ donation for a group of newly licensed nurses. a. A nurse is caring for a client who is immobile. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. 3. 1., 2., 3., & 4. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Remove all metal necklaces The nurse could definitely be part of the committee. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? A charge nurse is making client care assignments. Correct: Hot water may damage dentures so intervention is needed. Monitor for GI upset 30 minutes after meals. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. He charge nurse is making client care assignments for the evening shift. 3. Correct: A LPN should be able to care for a client with arthralgia who requires pain medication on a regular schedule and is receiving warm compresses. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. 4. 3. Correct: This group of clients is primarily med surgical. 4. 4. 1. The report should contain consequences. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. a. Select all that apply. Which of the following approaches should the nurse use when using confrontation? Channel Lisinopril 20.0 mg PO daily Administering 3 g/hr IV of morphine would be extremely dangerous. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. d. Discard the prepared medications and begin again after returning, d. I will wear synthetic clothing and woolen socks when using my oxygen (woolen and synthetic materials can generate static electricity and oxygen is a flammable gas - the client should wear cotton), 73. 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. c. Review the client's progress toward personal objectives A client who is disoriented and awaiting transfer to a long-term care facility. Which client would be appropriate for the RN to assign to the LPN? The nurse prefers to check all vital signs on all clients. 2. The charge nurse is making client assignments for a neuro-medical floor. c. Gender Did you think dehydration and fluid volume deficit? 1 This client needs ongoing monitoring which is within the scope of practice for the LPN. Wears a gown when entering the room of a client who requires contact precautions Notify the primary healthcare provider of transfer completion. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. 3. d. Remove tea and coffee from meal trays, b. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. This is not a situation that requires the LPN to notify the primary healthcare provider. Dentures should be stored in a denture cup. Yes! Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? ATI Leadership and Management Questions - Leadership Management of Care Skill level and scope of practice of each staff member, Exit HESI (Actual hesi hints), EXIT HESI 2, Julie S Snyder, Linda Lilley, Shelly Collins. 1. Estimate the number of Calories in two tablespoons of peanut assignmentcafe.com - A charge nurse is making assignments for nursing d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound A client with diabetes admitted for debridement of a foot ulcer. A nurse is caring for a client who states, "I have got to get out of this hospital! (Select all that apply.). Cardiac catheterization with a decreased pedal pulse below insertion site. a. 1. Charge nurses have integral roles in healthcare organizations. Monitor for behavioral changes. Teach caregivers memory enhancement aids. Determining the client's length of stay 4. Teaching insulin self administration cannot be delegated to the LPN. B. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. When asking the client about his receptiveness to the transfer c. One nurse lifting the client's legs as the client uses a trapeze bar Take several shallow breaths during the procedure one of the licensed practical nurses Get the answers you need, now! What would the approximate meaning of photoelectric be, based on these root words? Remind the client that a signed informed consent form is a legally binding document Which preoperative prescription should the nurse question? Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? 1. 3. 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. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. Ask the client to perform a return demonstration of insulin injection 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. 4. The area surrounding the insertion site feels warm to the touch 2. 3. Each ROM movement should be repeated 5 times during the session. To remove gastric acid that might cause dyspepsia 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. a. Plan all care to be completed in early morning to allow afternoon for visitation. Understanding the charge nurse's role in staffing c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures Briefly assess every client. Serve milk products separately from meals b. b. I'll rewrap my ankle starting from the knee down 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? 4. In what order should the nurse see the clients? 4. Which of the following findings associated with urinary retention should the nurse expect? The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. Which action by an unlicensed nursing assistant would require the nurse to intervene? Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? Protective Complete a client assignment sheet for the oncoming staff. Review a low-sodium diet for a client with hypertension. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. a. c. Review another client's similar surgical experience Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. 2. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. c. 214 An Advance Directive includes a Living Will and a Medical Power of Attorney. The nurse has received the change-of-shift report. 5. So, the UAP can assist a client to brush and floss teeth. A nurse just back from maternity leave. Bargaining Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? 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. Which of the following findings should the nurse expect? Autonomy vs shame and doubt Assist a client to ambulate using a gait belt A nurse is prioritizing care for two clients at the start of the shift. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. which client would be an appropriate care assignment for this lpn? A nurse is preparing medication for a client when another client has an emergency. C. Review a low-sodium diet for a client who has hypertension. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. 2. a. Besides yourself, there are the following staff: Your unit has 12 beds. b. c. Inflate the balloon when the urine flow stops Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. 55. b. Assess the client 1. Ask for any staff objections to rearranging work hours. Charge Nurse - RN | Fresenius Karriere This stage is when testing occurs to identify boundaries of interpersonal behaviors The client is reporting anxiety, discomfort, and a feeling of bloating. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. Warm the feeding solution to the body temperature The charge nurse is planning assignments on a medical unit Which client d. Places clean linen that touched the floor in the soiled linen bag, d. Decreased calcium excretion (prolonged immobility leads to the breakdown of bone tissue; result is decreased calcium excretion), 26. 5. Which of the following RNs should not be assigned to this baby? Monitor client for pain while assisting with ambulation. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a Which of the following actions should the nurse take? b. I'm so sorry to hear about this d. Let's wait until tonight to see if he continues his behavior, 63. b. Assigning tasks to an AP Only the state Board of Nursing can legally determine the LPN's scope of practice. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. Prior to turning feeding back on, tube placement needs to be verified. Ask the float nurse, "Have you been drinking?" *HURST REVIEW Qbank/Customize Quiz - Leadership b. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com d. Highly concentrated urine, 91. Perform the Heimlich maneuver A cardiac step down unit has requested float staff because of multiple impending admissions. Which of the following statements by the student indicates understanding of the discussion? The nurse would then start the 24 hour urine once the 1st void has been discarded. 5. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. Refuse the overtime assignment, being prepared for disciplinary action. a. When the licensed person cannot determine this, the task should not be delegated. 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. a. Auscultating heart sounds This client is stable and predictable. b. It would not be appropriate to overload this new employee with extra work. Education 1. Incorrect: This would unnecessarily alarm the clients. A family member requests that the nurse apply restraints. A client with COPD complaining of shortness of breath on exertion. d. Mask, 83. Incorrect. Furosemide 40 mg PO q.d. a. Involve the client in their plan of care. Wrapping the dentures in tissue while the client sleeps 2. Increased insulin production 4. c. Discard any residual gastric contents c. Hallucinations at the onset of sleep b. I can detect the presence of carbon monoxide by a metallic odor Moistening the dentures prior to inserting them b. a. I wish I didn't have to attach the electrodes to my skin 3. c. Helping the client into the shower Twist at the waist when she moves an object to one side The charge nurse's best response is to first obtain the needed information to make the best decision. Problems in Delegation: A Busy Day on the Floor - Quizlet a. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. The charge nurse on the postpartum unit is making assignments. 3. b. 6. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Which of the following responses should the nurse make? 4. 4. The client was lying on the floor next to his bed (nurse should document what they actually see), 68. A nurse who is on hormone replacement therapy. 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. Incorrect: Atrial fibrillation places the client at risk for blood clots. A nurse enters an older adult client's room to insert a saline lock. 3. The nurse is using which of the following therapeutic communication techniques? 4. Providing a passive response d. Expect minor discomfort after the procedure, b. I will come back later and we can talk (offers herself to client which encourages open communication). This service began with the client's admission to the hospital c. The client was restless and trying to get out of the bed all evening Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. 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. Point out inconsistences in the client's behavior 2. a. If you give the magnesium citrate, which is a laxative, what will happen? A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Limit the client's fluid intake in the evening When determining if the client is eating a well-balanced diet A client requesting assistance packing his belongings for discharge later today., 1. 1. Decreased RBC production 4. 1. A medical-surgical LPN has been sent to a short-staffed pediatric unit. Currently, your census is 11, with one empty bed. d. Lean back in the chair, b. 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. Incorrect: Informing is the same thing as teaching. The nurse asks why the client needs to know this. c. Raised toilet seats A client requesting assistance packing his belongings for discharge later today.. Try different methods of oral care on unresponsive clients to see what works best. c. Distended bladder b. I will try to anticipate and avoid stressful situations when possible 3. 1. This service focuses on teaching the primary caregiver to meet the client's needs EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. a. 1. A nurse is preparing to move a client who is only partially able to assist up in a bed. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. Provide an adaptive feeding device for the client A client with fibromyalgia reporting generalized pain of 7 out of 10. Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. 3. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Aplastic anemia is a rare but serious condition. b. I will come back later and we can talk Showing disapproval Only a plain enema or soap enema can be given by the UAP. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. Gather supplies to prepare room for isolation. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. c. When asking the client how he completes his ADLs But the client does need to be assessed prior to the client with Crohn's disease who is improving. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. A nurse is engaging in relationship counseling with a male client. Anyone over age 18 can have an Advanced directive. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. What was the hint? Initiative vs guilt Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) Encourage the client to be more cooperative. b. c. Blood-tinged urine A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. 2. 4. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. a. b. A nurse caring for a client is using active listening skills. This schedule may leave some clients too exhausted to visit with family. Nurses Report Sheet Template Nicu. (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. Relax her abdominal muscles when she lifts an object A nurse is providing discharge teaching for a client who requires home oxygen therapy. The LPN can monitor the wound and provide care to the PEG insertion site. A client has been admitted with folic acid deficiency anemia. Everything will be okay Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? Respite care allows the primary caregiver time away from day-to-day care responsibilities Battery Use the tablet's packaging to pick it up from the counter As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. 3. 4. b. Perform range of motion (ROM) exercises at least 2-3 times daily c. I'll need to shave the hair off the skin where I place the electrodes Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. a. 1. Allow families unlimited visitation around the clock to meet their schedules. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. 3. Sudden attacks of sleep If your reasons for refusal were client safety, nurse safety, or an imperative personal commitment, document this carefully including the process you used to inform the facility (nurse manager) of your concerns. The nurse should perform which of the following activities in this space? d. Do you think crying will help? This client could be transferred with traction still maintained. PDF 8 steps for making effective nurse-patient assignments 6. This includes medication enemas. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. a. 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. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. b. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. 2. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. A nurse who is breastfeeding her 4 month old. Focus on the client's present circumstances instead of his personal stories 1, 3 & 5. Underline the adjective clause in each sentence. 2. Select all that apply A nurse is planning to discharge a client who has quadriplegia to his home. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. c. The restraints should promote the client's safety and prevent injuries So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. Assist the float nurse with the clients case. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. It is within the LPNs scope of practice to administer antibiotics. 1. a. I'll provide more stimulation in his environment Though it may benefit staff to have one particular goal, some clients cannot tolerate to have everything performed at one time, and instead need short rest periods during personal care. b. Wash the area of the puncture thoroughly with soap and water One important aspect is encouraging the flow of ideas between management and staff members. This client needs careful monitoring and specialized care. Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. 1. Assigning blame for the changes to administration will not help staff adjust. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. Notify clients that the disaster plan has been put into effect. 1. The nurse is reviewing some clients' prescriptions. a charge nurse is making client care assignments for the day. which What task would be best to assign to the LPN/LVN? Which of the following items should the nurse include on the lunch tray? A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Of my three brothers and sisters, my sister Giselle has the best sense of humor. A nurse is assessing a client who is experiencing prostatic hypertrophy. Semi-formed stools are great news! Risperidone .5 mg PO daily 4. c. Behaving defensively This could cause a medical emergency. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Because the charge nurse observes and weighs . d. Apply cornstarch to keep the skin dry, b. Wash the area of the puncture thoroughly with soap and water (the greatest risk to this client is injury from any bloodborne pathogens on the needle therefore the first action the nurse should take is to provide immediate first aid), 28. 4. a. The client states, "I'm feeling a bit nervous today." For which of the following tasks should the nurse wear protective eye equipment. Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu