The spouse can rescind the Advance Directive if the client becomes unresponsive. c. I will begin upon the client's admission to the facility Which task should the nurse take responsibility for completing? However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. Twist at the waist when she moves an object to one side A nurse receives a client care assignment from the charge nurse that he believes is unfair. Incorrect: This group of clients needs specific teaching. 2. 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. 5. 4. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. 1. d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. 77. Encourage clients and families to develop mutually appropriate visitation times. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. b. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. A charge nurse is making assignments for an oncoming shift. Obtain a urine specimen from a client with an indwelling Foley catheter. So, now you must decide which of these high priority clients should be seen in what order. a. Gloves Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. d. Voided 30 mL frequently, 48. Airborne 2. 3. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. a. What was the hint? a. I will keep my walker at the end of my bed . a. They have found my address and are coming for my family!" Which nurse should be assigned to care for this client? Most of the following sentences contain errors in the use of modifiers and comparisons. Which of the following actions by the nurse is considered an indirect nursing care activity? 3. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. b. I will begin once the client's discharge order is written 1. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. The charge nurse knows what client would be most appropriate for this LPN? When asking the client about his receptiveness to the transfer 2. The nurse has received the change-of-shift report. c. Why are you crying? a. 2. Everything will be okay A float nurse arrives on the unit to assist in the care of clients for the shift. 1. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." M2.4 Making Client Care Assignments - GECC As the RN charge nurse, you are preparing to make assignments for the oncoming shift on the medical-surgical unit. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? b. 1. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. The nurse is using which level of communication at this time? 3. a. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. What proposal would the nurse determine to best meet the needs of families and clients in long term care? The nurse is using which of the following therapeutic communication techniques? There are a total of 10 adult clients. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. b. Solved 77. The nurse in a long-term care facility is making - Chegg a. Elicit info from the client The client with chronic emphysema has expected shortness of breath. Understanding the charge nurse's role in staffing Drag and Drop the items from one box to the other. Nurses Report Sheet Template Nicu. Incorrect: The RN is responsible for developing the plan of care which would include necessary referrals. b. - Assisting a client to ambulate using a gait belt. b. Assist the float nurse with the clients case. 1. 1. b. I will call the doctor and get the prescription 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. Involve the client in their plan of care. a. I'll apply ankle to my ankle today and tomorrow 2. e. an open perineal wound, 92. 1) Bathe a client who had an amputation 2 days ago. The RN with 2 weeks' experience on the postpartum unit. Sudden attacks of sleep d. What have you done in the past to cope with this issue? 3. 1. Did you recognize ureterolithiasis as "kidney stones"? Answer the following question to test your understanding of the preceding section: Which of the following actions should the nurse take? Lumbar puncture reporting a headache. Could you try contacting a support group The charge nurse needs additional information to make a decision. 3. 2. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. 2., 3. Nursing questions and answers. Which preoperative prescription should the nurse question? Client with chronic emphysema experiencing mild shortness of breath. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding). c. I'll wear low heeled shoes from now on 4. 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. What task would be best to assign to the LPN/LVN? In what order should the nurse assess assigned clients following shift report? Which of the following indications should the nurse include? 3. A family member requests that the nurse apply restraints. Incorrect: The RN is responsible for assessment and evaluation of clients. d. Reduced blood viscosity, a. Auscultating heart sounds which of the following actions should the nurse perform? Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. This client is at a high risk of infection. c. Changing a dressing, 78. A nurse wants to find out a better way to perform oral care on unresponsive clients. 2. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Discussing a client's surgical procedure with the nurse manager Use the tablet's packaging to pick it up from the counter The nurse should call for immediate help so that a safe care environment is maintained for all clients. Which of the following actions should the nurse include in the plan? IV of D5 NS at 75 mL/hour with a 20 gauge catheter. b. Numbness 2. b. Massage any bony prominences to promote circulation 2. a. I'll sit with my knees lower than my hips 3. Read all the current literature related to oral care on unresponsive clients. Which of the following actions should the nurse perform when opening the sterile pack? A nurse is preparing to move a client who is only partially able to assist up in a bed. 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. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. Make referrals to community services. 1. Alert all off-duty personnel to stand by in case of call- in. The client would develop severe cramping. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. b. b. I will keep the fluorescent ceiling light on in my room at night d. Lean back in the chair, b. 2. 2. The nurse should use close-ended questions when assessing which of the following factors? The LPN should refuse the intervention. Assessing this client and titrating the diltiazem requires the skills of an RN. c. Inform the surgical team to cancel the client's surgery Perform the Heimlich maneuver 2. b. What action should the nurse implement first to ensure client safety? Which client should the nurse assess first? Incorrect: The nurse cannot assign teaching to the UAP. c. Hold an object away from her body as she lifts it Nothing by mouth (NPO). Which clients should be assigned to the CNA? The primary healthcare provider may have suggestions but this is not the best first action. d. I will place a bath seat in my shower to use when I bathe, b. 2. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. 1. d. Routine acquisition of a urine specimen 1. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. The nurse is responsible for the assessment of all vital signs of post-op clients. Provide a between meal supplement to the client. A charge nurse on an acute care unit is planning care for a client leadership management of care nurse on unit is providing care for group of clients. a. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. Provides safe, effective delivery of patient care in . Monitor for GI upset 30 minutes after meals. For which of the following tasks should the nurse wear protective eye equipment. What is the most appropriate action by the charge nurse? Select all that apply. c. Rephrase statements the client does not hear C-section planning discharge, postpartum infection, mastectomy. Explain to the RN that all the nurses have the same number of clients. Review a low-sodium diet for a client who has hypertension. Incorrect: The nurse is responsible for monitoring a client. A charge nurse is making client care assignments. Bargaining Include any relevant statements the client made about the ulcer Remember, pick the killer answer first! Lisinopril 20.0 mg PO daily Include any relevant statements the client made about the ulcer, 64. a. I wish I didn't have to attach the electrodes to my skin d. Remove and reinsert the NG tube, a. Incorrect: The charge nurse does not have to assess every client. The nurse has another priority. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Remember airway, breathing and circulation (ABCs). a charge nurse is making client care assignments for the day. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. Besides, a charge nurse is a leader on the floor and should possess . A high concentration of carbon monoxide can cause death The nurse chooses to confront the client. a. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) This includes medication enemas. The charge nurse's best response is to first obtain the needed information to make the best decision. 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. I decline this opportunity at this time, b. a. 3. This is a diabetic clinic. This can prevent harm to client's. a. c. They tend to use more verbal communication 4. Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. 1. 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. Phone report to the receiving nurse. A medical-surgical LPN has been sent to a short-staffed pediatric unit. b. 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. Therefore, this client would not be a priority over a client who may be experiencing a MI. Two nurses lifting the client under the shoulders the nurse responds, "don't worry, no one will harm your family." A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. 3. d. Custard Ask the charge nurse to evaluate the intervention. This service focuses on teaching the primary caregiver to meet the client's needs This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. 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. 2. A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. Which of the following findings should the nurse expect? Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. 4. There is a trailing zero after the prescribed dose. This action is a defensive intervention, and does not address the quarrelsome behavior. The client then states, "I have changed my mind and do not want to have the procedure done." Donning gloves and using a gauze pad to grasp and remove dentures Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. d. Do you think crying will help? Notify clients that the disaster plan has been put into effect. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. 2. Thus, the tasks involve successful management of the charge nurse's responsibilities. b. 3. The LPN can monitor the wound and provide care to the PEG insertion site. A charge nurse is planning client activities for the day. 1. b. Select all that apply Respite care allows the primary caregiver time away from day-to-day care responsibilities The client's self-report of pain severity, 88. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. Remind the client that a signed informed consent form is a legally binding document 4. TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . b. Verbalize understanding of how the client feels 2. Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. Call the client's provider 4. 5. Obtain a client's consent The third client that should be sent back for treatment is the female client stating she has been raped. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. a. What is the primary factor for the charge nurse to consider when delegating care? 1., 4., & 5. Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. c. Changing a dressing A nurse is orienting a new assistive personal (AP) to the unit. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? a. I will keep spare crutch tips handy Which of the following nontherapeutic communication techniques is the nurse using? Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. d. Complete an incident report, 70. 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.