a charge nurse is making client care assignmentsa charge nurse is making client care assignments
Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). 1. Once the client is stable, the UAP could perform this task. A medical-surgical LPN has been sent to a short-staffed pediatric unit. 3. A nurse enters an older adult client's room to insert a saline lock. The nurse should not assume that the UAP just did not do their job, but needs to ascertain the reason for not feeding the client. Providing hygiene care to a client who is HIV positive (Select all that apply.) Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. Incorrect: The RN is responsible for collecting data. 3. Performing passive range of motion (ROM) on the client with right sided paralysis. 1. Select all that apply This client could be transferred with traction still maintained. a. I'll urinate a little then stop a. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." 4. Place the pack on a sterile work surface Which of the following explanations should the nurse provide? a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. To which of the following rooms should the nurse assign the client? Assign more daily tasks to the UAP. 2. Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. Which of the following actions should the nurse include in the plan? It's unfortunate that I have to be in the hospital for this treatment Determine caregiver's stress level and coping strategies. c. Gender 3. What is the best first action for the nurse to take in order to achieve this goal? and 16 g of fat. A nurse is caring for a client who states, "I have got to get out of this hospital! 2. 2. Correct: The client has the right to be involved in the decision making of their care. 1. Yes! c. I will inspect my crutches everyday for signs of wear Correct: This group of clients is primarily med surgical. a. Taking the report from the ED could be delayed but is a courtesy to the ED and will provide information about the client that will be useful in making assignments for the next shift. What options would be appropriate for the nurse to take? d. Perception a. 2. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? 2. 2. The nurse is using which of the following therapeutic communication techniques? 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. A nurse is assessing a client who has narcolepsy. Encourage client to express grief related to loss of independence. Convenience for the nursing staff or the client's family Right forearm Initiate oxygen and IV lines as needed. (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 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. 1., 4., & 5. Which of the following responses should the nurse provide? Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. 1. It's just not the right time for me to do this Which of the following tasks should the nurse delegate to AP? Correct: Talking to the nurses about client concerns and completing the client assignment sheet for oncoming staff will provide for a thorough shift change report. 1. A float nurse arrives on the unit to assist in the care of clients for the shift. Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case), 29. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. b. Donation costs are the responsibility of the donor's family and estate 1. Review a low-sodium diet for a client with hypertension. The nurse asks why the client needs to know this. A nurse is caring for a client who has a mental health disorder. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. Explain oral hygiene to a client receiving chemotherapy An experienced nurse would be assigned to this unstable client due to the possibility of a reoccurring hemorrhagic stroke resulting from the client's hypertension. There are a total of 10 adult clients. Which of the following RNs should not be assigned to this baby? 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. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. Which of the following types of torts has the nurse committed? It happened so long ago - just get over it!" c. I'll wear low heeled shoes from now on American Sickle Cell Anemia Association Now, in Option #2, we see a dangerous prescription. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. 4. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? Correct: The unlicensed nursing assistant should not turn tube feedings off or on. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. 2. Autonomy vs shame and doubt This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. 5. A nurse is engaging in relationship counseling with a male client. Encourage clients and families to develop mutually appropriate visitation times. 3. Which of the following tasks should the charge nurse reassign to a licensed nurse? Incorrect: The nurse is responsible for monitoring a client. 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. Allow families unlimited visitation around the clock to meet their schedules. 3. There will likely be both physical and emotional injury that needs attention, which places this client third. Cystogram reporting burning on urination. Notify the surgeon that the client wishes to withdraw informed consent for the procedure Which clients could be assigned to an LPN? Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. (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 The reason for the UAP not feeding the client needs to be determined. Which of the following actions should the nurse take? Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. d. Counting radial pulse, 100. 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. d. Talk with the client's partner, b. Place in priority order. a. The third client that should be sent back for treatment is the female client stating she has been raped. 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). Both of these clients are terminal. Which of the following statements by the student indicates understanding of the discussion? Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. 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. 3. Perform range of motion (ROM) exercises at least 2-3 times daily . Client two days post percutaneous endoscopic gastrostomy (PEG) placement. 4. A nurse who is 10 weeks pregnant. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. 4. This is normal for clients with hemorrhoids. Report of feeling pressure The unit is short one staff member and will receive a nurse from the medical surgical unit. The RN with 5 years' experience in the Labor and Delivery unit. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). Client one day post kidney transplant. a. b. Wash the tablet off with alcohol and place it in a clean medicine cup Lumbar puncture reporting a headache. c. The nurse may serve as a witness to informed consent for organ donation (SATA) -Bathing a client who had an amputation 2 days ago. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Measure urine output when client voids. This protein is released by cells in the stomach. 1. a. However, there are some basic points which are standard among all facilities. Write the letter of your choice on the answer line. 4. A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. A nurse is filling out an incident report after finding a client lying on the floor. 1. Dr. Frankenstein had seen himself as a(n) ?\underline{? An Advance Directive includes a Living Will and a Medical Power of Attorney. a. b. I'll use the cleansing wipes from the front to back Delegate 2 nurses to work with the client. 5. Places the soiled linen in the floor before bagging it The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Only a plain enema or soap enema can be given by the UAP. There is a trailing zero after the prescribed dose. Feedback c. Washes and rinses her hands for 10 seconds, 11. The client was lying on the floor next to his bed 4. c. Measurement of residual urine after urination 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. 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. A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. 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. Occupational therapist Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Which of the following statements should the nurse identify as an indication that the client understands the discharge information? 2. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. 1. There may be a good reason that the tray was not served. 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. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. The third client would be the one needing a dressing change. d. I decline this opportunity at this time, b. There is a possibility that a hypothermia blanket may be prescribed. c. I'll need to shave the hair off the skin where I place the electrodes nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. _________________ (magnanimous), a. generous The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. b. 2. b. Explain administration is demanding a decreased overtime. The nurse should use close-ended questions when assessing which of the following factors? What was the rationale for this plan? Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. Incorrect: The nurse is responsible for evaluating a client.
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a charge nurse is making client care assignments