Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? The nurse is focusing on which of the following elements of the communication process? Select all that apply 2. Explain oral hygiene to a client receiving chemotherapy He charge nurse is making client care assignments for the evening shift. Perform the Heimlich maneuver The charge nurse might not have realized all the responsibilities of taking this team of clients. 5. 3. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. 1., 2., & 5. Speak to the UAP to determine what happened with the feeding. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. A nurse is caring for a client who is postoperative following an appendectomy. d. Bend at the knees when picking up an object, 99. c. I'll clean the inside of the container with a wipe 3. Incorrect: The RN is responsible for assessment and evaluation of clients. e. an open perineal wound, 92. Encourage the client to use self-exploration a. 4. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. 4. d. Droplet, d. Bend at the knees when picking up an object, 98. 3. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. The infusion rate has stopped but the tubing is not kinked c. I will place an area rug at the entry of my bathroom 4. Select all that apply. Assist a client to ambulate using a gait belt 2. 7. Only the state Board of Nursing can legally determine the LPN's scope of practice. Provide an adaptive feeding device for the client 1. Speak using his usual tone of voice 1., 2., 4., & 5. Monitor for behavioral changes. b. I should call my doctor if I find it harder to concentrate b. Which of the following actions should this nurse take? Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? A nurse in a long-term care facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontinence. a. Broth d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Furosemide 40 mg PO q.d. A nurse is filling out an incident report after finding a client lying on the floor. A nurse is having difficulty caring for a client due to variables affecting the communication process. a.) b. Wash the area of the puncture thoroughly with soap and water b. Determine which personnel could be sent to the command center. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. 3. Refuse the overtime assignment, being prepared for disciplinary action. b. Numbness Have another nurse guard the medication preparations until the nurse returns However, it remains true pain for this client and the client would need intervention to help manage this pain. Try different methods of oral care on unresponsive clients to see what works best. Semi-formed stools are great news! A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. 1. d. Request a prescription for an indwelling urinary catheter, c. I will begin upon the client's admission to the facility (effective discharge planning must begin upon admission of the client to the facility), 60. c. I will begin upon the client's admission to the facility Channel b. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. b. Grape juice a. This invasive procedure results in some edema to the vessel used for the procedure but assessing only one pedal pulse does not provide sufficient data to verify a complication. 3. 1. Which clients could be assigned to an LPN? 2. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. The nurse should not be assigned to provide care if impairment is suspected. c. imaginary This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. d. Providing information, a. Incorrect: Although this nurse may be accustomed to caring for clients in acute situations requiring a higher level of care, this nurse is not familiar with caring for clients with preeclampsia. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Now, in Option #2, we see a dangerous prescription. b. d. Highly concentrated urine, 91. b. Reporting laboratory findings to a member of the client's family This is an elderly client who is a new admit. 1. Underline the adjective clause in each sentence. 1., 2., 3., & 4. This determination is needed to assure client safety is being considered. This referral would be appropriate. Which of the following actions should the nurse take first? Remind the client to avoid tight fitting clothes. Besides yourself, there are the following staff: Your unit has 12 beds. 1. Which of the following findings should the nurse identify as a safety risk? 3. The key word in the stem is first. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? 1. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. 3. c. Hallucinations at the onset of sleep Which of the following actions is an example of a violation of confidentiality? b. A nurse enters an older adult client's room to insert a saline lock. 6. The last client would be the one needing dietary education. e. Feed a client who had a stroke 3 months ago, 31. d. To identify delayed gastric emptying, a. Auscultate breath should at least ever 2 hr (priority action the nurse should contribute to the plan of care when using the ABC approach to client care in auscultating breath sounds to determine the client's need for suctioning; with inactivity, secretions can pool in the airways, diminishing breath sounds and causing crackles and dyspnea), 43. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. It contains a blank and is followed by four answer choices. Place the pack on a sterile work surface A nurse receives a client care assignment from the charge nurse that he believes is unfair. The client states, "I am so nervous about what the doctor might find during the test." The nurse has another priority. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. Take several shallow breaths during the procedure A charge nurse is making client care assignments. It also helps the client deal with issues that are important to him), 19. A person can be designated to make medical decision in the event the client cannot. Which of the following should the nurse identify as an interpersonal variable? If the volume of the bucket is 4.67L4.67 \mathrm{~L}4.67L, how many grams of gold are there likely to be in 2.381032.38 \times 10^32.38103 cubic feet of soil? Sudden attacks of sleep Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. Thus, the tasks involve successful management of the charge nurse's responsibilities. 4. A nurse is discussing the norming stage of the group development process with a student nurse. leadership management of care nurse on unit is providing care for group of clients. 2. 1. 1. In what order should the nurse see the clients? The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. Select all that apply 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? c. Blood-tinged urine Which of the following statements should the nurse identify as an indication that the client needs further teaching? Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. 2) Assist a client to ambulate using a gait belt. This is not a situation that requires the LPN to notify the primary healthcare provider. 3. A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. Place in priority order. 2. Each ROM movement should be repeated 5 times during the session. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. The nurse is using which level of communication at this time? d. Let's wait until tonight to see if he continues his behavior, 63. Splitting the overtime shift is an acceptable option that the nurse could suggest in order to solve the staffing problem and decrease the amount of time the nurse will be working. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? Irrigate a client's ear canal. b. Client with cast to right leg requiring pain medication. Assessing this client and titrating the diltiazem requires the skills of an RN. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. 2. Which client can be assigned to the LPN? Gather supplies to prepare room for isolation. Administer sodium polystyrene sulfonate enema. Discuss the assignment with another LPN. a. The nurse should assess the client for which of the following expected outcomes after catheter removal? 3. d. Ambulating the client in the hallway, c. Explore the client's feelings about dietary modifications (this teaching intervention allows the client to express his acceptance of this change and focuses on affective learning), 80. d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. Select all that apply. b. c. Raised toilet seats Which of the following responses should the nurse make? Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. So, now you must decide which of these high priority clients should be seen in what order. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. d. 216, 22. 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. Select all that apply Which of the following instructions should the nurse give to the client prior to the procedure? Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. 3. 3. Use the tablet's packaging to pick it up from the counter When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. 3. What task would be best to assign to the LPN/LVN? d. They disclose more personal information, a. 2. 77. The stem does not indicate any loss of neurological function resulting from the seizure activity. Evaluate client's safety risk factors. A nurse asks a client to share personal stories. For which of the following tasks should the nurse wear protective eye equipment. - Assisting a client to ambulate using a gait belt. 3. 3. 5. Which of the following actions should the nurse perform when opening the sterile pack? A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 1. Encourage client to express grief related to loss of independence. d. Establishing the client's secondary medical diagnoses, b. Select all that apply 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. c. I will complete the smoking cessation program I started b. a. 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). c. Measurement of residual urine after urination a. I'll sit with my knees lower than my hips 76. When a family member asks how respite care can help, which of the following responses should the nurse provide? a. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Which of the following instructions should the nurse include? Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Monitor for GI upset 30 minutes after meals. Drag and Drop the items from one box to the other. This client can wait until the others are treated. A nurse is preparing medication for a client when another client has an emergency. 1. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. b. b. (Select all that apply.). 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. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". 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. 3. Which of the following items should the nurse include on the lunch tray? Photo comes from the Greek word for light. _________________ (magnanimous), a. generous d. Message, 67. The area surrounding the insertion site feels warm to the touch Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a Ask the client to perform a return demonstration of insulin injection The charge nurse on each unit needs to prepare a list of possible discharges or transfers to be given to the appropriate primary healthcare providers for further action. The best practice committee utilizes current research in their recommendations. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Since the enema would clean below the obstruction, the client would be able to expel the enema and any feces in this part of the colon. Which of the following actions should the nurse take? D. 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. I'm drinking plenty of fluids." Soaking the dentures in hot water A charge nurse is making client care assignments. Which of the following types of communication breakdown does this response represent? The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. A client who is disoriented and awaiting transfer to a long-term care facility. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Select all that apply The nurse asks why the client needs to know this. 1. a. Suggest splitting the shift with another nurse. c. Can you tell me why you chose me? 5. Bargaining This client could be transferred with traction still maintained. Refuse the assignment, being prepared for disciplinary action. d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. a. The surgeon initially prescribes a clear liquid diet. Plan all care to be completed in early morning to allow afternoon for visitation. A nurse just back from maternity leave. No! After making initial assessment rounds on assigned clients in the morning, the RN tells the charge nurse that the clients are too difficult. Prior to turning feeding back on, tube placement needs to be verified. Richied5864 Richied5864 . d. Services are centered in long-term care facilities, a. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. 4. Removing the client's dentures Place the client in low Fowler's position The nurse is using which level of communication at this time? It is within the LPNs scope of practice to administer antibiotics. 3. A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. 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. Injuries from a motor-vehicle accident can be life threatening. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Review the action of insulin therapy 5. Two hours . Asking for an explanation Incorrect: The nurse cannot assign teaching to the UAP. Checking capillary refill beneath the client's fingernail c. Rephrase statements the client does not hear 5. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Showing disapproval Handoff and Nursing Report Sheet. 2. 2. The provider must renew a restraint prescription every 8 hr. Dr. Frankenstein had seen himself as a(n) ?\underline{? 4. 5. 2. A nurse is caring for a client who is postoperative following abdominal surgery. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. a. 3. Administering IV pain medication to a two day post op client. It's just not the right time for me to do this which client would be most appropriate to assign a licensed practical nurse (lpn)? a. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. c. We administer all medications intravenously to clients in this unit 2. A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. b. Changing a colostomy bag. d. Identifying the client by name when making a referral for home health services, 30. 1. The charge nurse needs additional information to make a decision. The charge nurse is planning the staff assignments for the clients on a neurological unit. b. CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. Estimate the number of Calories in two tablespoons of peanut Answer the following question to test your understanding of the preceding section: 3. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure.
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