a charge nurse is making client care assignments

1. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Schedule visiting times in two-hour increments so clients are not overwhelmed. Which nursing intervention should the charge nurse implement? Decreased RBC production Solved A charge nurse is making client care assignments. | Chegg.com Ask for any staff objections to rearranging work hours. 1. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. A nurse is assessing a client who is experiencing prostatic hypertrophy. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. Based on this information,what should the nurse do? The nurse asks why the client needs to know this. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Irrigate a client's ear canal. "Please explain what you mean by the word 'nervous'.". b. 4. Of my three brothers and sisters, my sister Giselle has the best sense of humor. UAPs can assist with elimination and are taught how to measure output. This is outside the scope of practice for the LPN/LVN. Include any relevant statements the client made about the ulcer Perform catheterization when you recognize the urge to void The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. Correct. Provide a between meal supplement to the client. a. Which of the following should the nurse include as a criterion for applying restraints? It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). c. Behaving defensively The charge nurse is planning assignments on a medical unit Which client 1. A nurse is working with an assistive personnel (AP) to Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. 5. The nurse has received the change-of-shift report. a. 1. The surgeon initially prescribes a clear liquid diet. b. Reporting laboratory findings to a member of the client's family b. I will keep the fluorescent ceiling light on in my room at night a. Place the pack on a sterile work surface Incorrect: This response overlooks a potentially severe problem. If you are new to this challenge, try these eight tips as a guide for making nurse-patient assignments. Make nursing assignments appropriate to the skill level . Which of the following actions should the nurse take? Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. This client needs careful monitoring and specialized care. A client with atrial fibrillation currently on a diltiazem drip. 3. d. Place the tablet directly into a medication cup, 36. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. Yes! This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. Therefore, this would not be the most appropriate nurse to assign to this client. d. What have you done in the past to cope with this issue? Wears a gown when entering the room of a client who requires contact precautions The client must understand the need for restraints 1. 1., 2., & 5. A nurse is developing a plan of care for a client who practices Islam. Which of the following nontherapeutic communication techniques is the nurse using? 3. a. Semi-formed stools are great news! Correct: The unlicensed nursing assistant should not turn tube feedings off or on. The charge nurse needs additional information to make a decision. The facility has insurance that will cover malpractice litigation 3. It is quicker to administer medications intravenously in the hospital Once the client is stable, the UAP could perform this task. Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. d. Go to employee health services, b. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. The nurse is responsible for the assessment of all vital signs of post-op clients. Hanging a new bag of total parenteral nutrition (TPN). Which of the following is the priority action by the nurse? 4. Fruity breath. c. I suggest you talk with a mental health counselor about your concerns Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. This is a task that can be delegated to the LPN/LVN. d. I will place a bath seat in my shower to use when I bathe, b. 5. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. c. Palpating for pedal edema d. Highly concentrated urine, 91. Which of the following findings should the nurse identify as a safety risk? 4. What is the best response by the charge nurse? c. Can you tell me why you chose me? a. A nurse who is on hormone replacement therapy. Alcoholic Anonymous 2. In what order should the nurse see the clients? A client requesting assistance packing his belongings for discharge later today.. b. A nurse is adhering to standard precautions while caring for a group of clients. 2. 5. Which clients should be assigned to the CNA? A nurse is orienting a new assistive personal (AP) to the unit. e. Time, c. The nurse may serve as a witness to informed consent for organ donation (nurses may witness the consent for organ donation after a specially trained professional requests consent), 23. 1. & 6. Which of the following instructions should the nurse include? Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Ask the charge nurse to evaluate the intervention. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. c. Why are you crying? b. c. Changing a dressing Feed a client that had a stroke 3 months ago. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Only a plain enema or soap enema can be given by the UAP. The key word in the stem is first. a. Female client stating she has been raped. Nothing by mouth (NPO). Normally, red blood cells are flexible and round, moving easily through blood vessels. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. 208 d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. b. I will begin once the client's discharge order is written Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. Initiate oxygen and IV lines as needed. The nurse is using which of the following therapeutic communication techniques? 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. 1. It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home), 45. 4. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Thoracentesis reporting shortness of breath. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. c. Hallucinations at the onset of sleep, 65. b. Elderly client admitted 30 minutes ago with reports of constipation for four days. Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. Comatose client with end stage chronic obstructive pulmonary disease. d. I have a set of my brothers' crutches in the basement I can also use, a. 1. A nurse is caring for an older client who is at risk for skin breakdown. 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. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Incorrect: This is not completely practical for everyone. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. Perform range of motion (ROM) exercises at least 2-3 times daily After making initial assessment rounds on assigned clients in the morning, the RN tells the charge nurse that the clients are too difficult. Which of the following responses should the nurse make? A person can be designated to make medical decision in the event the client cannot. An adult (18 years or older) can create an advanced directive. What is the best first action for the nurse to take in order to achieve this goal? Correct: Disconnecting NG tube suction is an appropriate task for the UAP. 6. 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. This referral would be appropriate. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. 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. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. 2. A nurse is planning care for a female client who has an indwelling urinary catheter. 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. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? Because the charge nurse observes and weighs . Client reporting epigastric pain and nausea after eating. _________________ (magnanimous), a. generous Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. assignmentcafe.com - A charge nurse is making assignments for nursing A high concentration of carbon monoxide can cause death The nurse should assess the client for which of the following expected outcomes after catheter removal? A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). Incorrect: This again is assessment which is the role of the RN only. a. What is the most appropriate action by the charge nurse? Moistening the dentures prior to inserting them Nothing life threatening. c. I'll need to shave the hair off the skin where I place the electrodes A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. 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. 2. Evaluate pain relief after narcotic administration. b. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. There are a total of 10 adult clients. a. 3. A charge nurse is making client care assignments. 2. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Include any relevant statements the client made about the ulcer, 64. When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Incorrect: Atrial fibrillation places the client at risk for blood clots. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? 1. 3. d. The nurse has already considered alternatives to restraints, a. However, providing care for missing teeth would also be within the LPN scope of practice. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? 212 1. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. A nurse is caring for a client who has a mental health disorder. Changing the subject 1. An increased temperature will have a direct effect on the brain's metabolism and function. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. -Review a low-sodium diet for a client who has HTN The client is considered unstable until assessed by the nurse. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. 3. 2. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. b. A nurse is caring for a client who is postoperative. b. 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. However, there are some basic points which are standard among all facilities. 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. 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. Bargaining What was the hint? A nurse who is 10 weeks pregnant. Tenderness over the symphysis pubis A. Hearing loss a. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound The nurse is planning care for a client admitted with Alzheimer's Disease. B. A nurse is discussing the norming stage of the group development process with a student nurse. 3. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. The nurse has been assigned four clients. 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. A nurse who is breastfeeding her 4 month old. c. The emphasis is on the client's complete recovery from the illness or injury 1. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. 4. 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. This service began with the client's admission to the hospital These individuals are selected by the charge nurse, and do not have to be nurses. 1. a. Shakes the soiled linen to remove any toilet paper remnants 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. 1. The assignment process requires constant evaluation and reevaluation of information and priorities. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. 3. (Select all that apply.). Providing hygiene care to a client who is HIV positive Which prescription should the nurse question and have corrected? Write the letter of your choice on the answer line. Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. 1. Photo comes from the Greek word for light. Which of the following statements should the preceptor make? 2. 4. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. Lumbar puncture reporting a headache. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. Incorrect: It is out of the UAP's scope of practice to administer medication. c. Hold an object away from her body as she lifts it 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. 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. c. Holds the soiled linen against her body while carrying it to the linen bag This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. Both of these clients are terminal. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. c. Washes and rinses her hands for 10 seconds, 11. 4. which client would be an appropriate care assignment for this lpn? The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. 2., 3. A nurse has just finished a wound irrigation for a client who requires contact precautions. 76. 3. These irregularly shaped cells can get stuck in small blood vessels, which can slow or block blood flow and oxygen to parts of the body. A client has been admitted with folic acid deficiency anemia. 3. In what order should the emergency department triage nurse send these clients to a room for treatment?

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