CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. Refuse the overtime assignment, being prepared for disciplinary action. It happened so long ago - just get over it!" b. Select all that apply Correct: Traction should never be relieved without a primary healthcare provider's prescription. So, now you must decide which of these high priority clients should be seen in what order. b. A nurse is caring for a client who is postoperative following an appendectomy. d. Transporting a cerebrospinal fluid specimen to the lab 5. c. Take the client to the bathroom every 2 hr 3. 2. a. I'll sit with my knees lower than my hips Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list., The charge nurse is preparing the patient care assignments for the day shift, assigning clients to a LPN/LVN and a certified nursing assistant (CNA). d. The nurse has already considered alternatives to restraints, a. 5. Two nurses lifting the client under the shoulders The client asks the nurse, "Why do I need that? Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. b. It is not a routine task. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. The area surrounding the insertion site feels warm to the touch This service focuses on teaching the primary caregiver to meet the client's needs a. d. Providing information, a. 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. b. 2) Assist a client to ambulate using a gait belt. Which clients would be appropriate assignments for the LPN/LVN? 2. d. I will begin once the client's insurance company approves discharge coverage, b. 3. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. The client says, "go away, no one can help me." 1. 3. Correct. c. Hold an object away from her body as she lifts it The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. This stage involves constructive efforts on the part of the group members A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. a. A charge nurse is making client care assignments. a. Handoff and Nursing Report Sheet. c. Document in the client's medical record that she completed an incident report Place the pack on a sterile work surface This is an appropriate and safe action for the unlicensed nursing assistant to do. When a family member asks how respite care can help, which of the following responses should the nurse provide? Dexlansoprazole 30 mg PO daily. Which of the following statements should the nurse identify as an indication that the client needs further instruction? 3. 4. which of the following actions should the nurse perform? Which client should the nurse see first? c. I will begin upon the client's admission to the facility Select all that apply. Printable Nursing Brain SheetPrintable Nursing - soyu.caritaselda.es Select all that apply & 3. Placing the traction weights on the bed to transfer the client to x-ray. Speak to the UAP to determine what happened with the feeding. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. 2. Sudden attacks of sleep Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. 4. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. A nurse is teaching a client about carbon monoxide poisoning. This client is eating a simple carb snack, but the nurse needs to check the client's blood glucose level to see if the snack has helped. The nurse also needs to be aware of the color and amount of urine voided. Client with chronic emphysema experiencing mild shortness of breath. 2., 3. Announce the new changes at the monthly staff meeting. Assist ait to ambulate using a gait belt. A client receiving a blood transfusion that requires monitoring. What interventions can the nurse delegate to the LPN/VN? Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. d. Services are centered in long-term care facilities, a. This client could be transferred with traction still maintained. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). c. The emphasis is on the client's complete recovery from the illness or injury Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Incorrect: This group of clients needs specialized care. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. a. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. A nurse who is breastfeeding her 4 month old. (b) H3O+(aq)+OH(aq)2H2O(l);K=1.01014\mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{OH}^{-}(a q) \longrightarrow 2 \mathrm{H}_2 \mathrm{O}(l) ; K=1.0 \times 10^{14}H3O+(aq)+OH(aq)2H2O(l);K=1.01014 Which of the following actions should the nurse take regarding informed consent? The charge nurse is planning assignments on a medical unit Which client 1. c. When asking the client how he completes his ADLs ATI Leadership and Management Questions - Leadership Management of Care This would be out of the UAP's scope of practice. 5. c. Palpating for pedal edema Administer sodium polystyrene sulfonate enema. Bargaining Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 1. e. Feed a client who had a stroke 3 months ago, 32. a. PDF 8 steps for making effective nurse-patient assignments c. Hand-off technique 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. Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. c. Visual observation for nonverbal signs of pain Which of the following actions should the nurse take? Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? 3. 4. The nurse has just completed a 12 hour shift. 3. d. Lean back in the chair, b. The client would develop severe cramping. b. Negligence Incorrect: The nurse retains the responsibility for the delegated task. d. There is no blood return when the tubing is aspirated, c. I will cover the catheter so he cannot see it (using stockinette or clothing to cover the IV insertion site is an appropriate distraction technique and might steer the client's attention away from the catheter), 62. This protein is released by cells in the stomach. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. A nurse is filling out an incident report after finding a client lying on the floor. The charge nurse is making client assignments for a neuro-medical floor. Airborne A home health nurse is conducting a home safety assessment for an older adult client. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. 3. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. 3. The nurse does not know the skills of the new UAP. b. d. Highly concentrated urine, 91. Irrigate a client's ear canal. 6. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? A nurse enters an older adult client's room to insert a saline lock. What was the hint? A nurse is admitting a client from a long-term care facility. This is an elderly client who is a new admit. 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. a. c. Why are you crying? When assigning nurses to patients, the charge nurse must consider the acuity of the patient's condition, the skills of the nurse, and the availability of other staff members. Select all that apply. 5. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? 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. 4. c. Nonfat milk e. Dysuria, 49. 1. 3. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. Simply accept the assignment since overtime is mandatory. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back). d. Remove and reinsert the NG tube, a. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. 5. Client one day post kidney transplant. Which of the following RNs should not be assigned to this baby? 2. Remove all metal necklaces Ask the RN why the assignment is too heavy. Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. d. What have you done in the past to cope with this issue? Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) c. I should purchase a carbon monoxide detector for my home A new UAP is efficiently completing all daily assignments accurately and in a timely manner. 3. The nurse should not be assigned to provide care if impairment is suspected. A nurse is preparing to move a client who is only partially able to assist up in a bed. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. Elderly clients have special fluid and electrolyte issues after a fall. 3. Ambulating a client who is 2 days post vaginal hysterectomy The UAP can assist clients with hygiene care, so it is within the scope of practice for the UAP to assist a client with a sitz bath for the postpartum client. b. Oral surgeon Incorrect: This client does not have a predictable outcome. 4. The nurse has received the change-of-shift report. Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). Initiate oxygen and IV lines as needed. 1. 1. Which of the following responses should the nurse make? Which of the following actions should the nurse take? The nurse is reviewing some clients' prescriptions. 4. Gather supplies to prepare room for isolation. Assist a client to ambulate using a gait belt. A lack of rapid eye movement (REM) sleep a. . A nurse is planning care for a female client who has an indwelling urinary catheter. A nurse is caring for a client who states, "I have got to get out of this hospital! This is a task that can be delegated to the LPN/LVN. There is a possibility that a hypothermia blanket may be prescribed. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. 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. The client is considered unstable until assessed by the nurse. As a charge nurse, you're a frontline leaderthe first reflection of your organizationand you need to ensure you are meeting the organization's goals and values. Clients over the age of 65 must have a saline lock according to facility policy 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. Correct: The client has the right to be involved in the decision making of their care. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following responses should the nurse make? 1. 3. c. The nurse may serve as a witness to informed consent for organ donation 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. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. Correct: The UAP can remind the client to do something that has already been taught by the nurse. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department 1. b. 2. Incorrect: It is out of the UAP's scope of practice to administer medication. 2. 2. 4. Client scheduled for breast reconstruction after mastectomy. Assist a client to ambulate using a gait belt c. Confrontation NURSING ASSIGNMENT- delegation in the workplace | Studymonk 3. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. He charge nurse is making client care assignments for the evening shift. a. A nurse receives a client care assignment from the charge nurse that he believes is unfair. 2. Convenience for the nursing staff or the client's family 4. Solved 77. The nurse in a long-term care facility is making - Chegg

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