This can prevent harm to client's. 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. d. 216, 22. Channel 4. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. 2. A school-aged child with a fractured femur who is in balanced suspension traction. 2., 3. A person can be designated to make medical decision in the event the client cannot. 1. What task would be best to assign to the LPN/LVN? American Sickle Cell Anemia Association 2. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. 1. Allow families unlimited visitation around the clock to meet their schedules. 4. 3. b. c. Review the client's progress toward personal objectives This would be out of the UAP's scope of practice. A nurse is caring for a client who states, "I have got to get out of this hospital! Which nurse should be assigned to care for this client? A charge nurse is making client care assignments. leadership management of care nurse on unit is providing care for group of clients. Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. 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. 4. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. 3. A client receives a wrong medication. Which of the following actions should the nurse take? d. I shouldn't advice you about what is ultimately a personal decision, b. A nurse is adhering to standard precautions while caring for a group of clients. 1. Incorrect: Medications are not transferred with the client to a new facility. 4. a. I will keep my walker at the end of my bed Speak using his usual tone of voice A nurse is preparing a sterile field. Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. 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. _________________ (magnanimous), a. generous c. 214 Which of the following of Erikson's developmental stages should the nurse consider in the planning? 1 a. c. Review another client's similar surgical experience c. Changing a dressing, 78. An Advance Directive includes a Living Will and a Medical Power of Attorney. The reason for the UAP not feeding the client needs to be determined. 4. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. This client could be transferred with traction still maintained. Which of the following actions should the nurse take? Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. b. I will bear the weight of my body on my hands Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. 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. Remind the client to tell the nurse when he has to urinate This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. Which of the following findings should the nurse identify as a safety risk? d. Reduced blood viscosity, a. Auscultating heart sounds Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? This client can wait until the others are treated. 5. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. Incorrect: The client does need to have food; however, there is another action that should be performed first. Understanding the charge nurse's role in staffing 2. This could cause a medical emergency. c. Foot A nurse receives a client care assignment from the charge nurse that he believes is unfair. 2. Feed a client that had a stroke 3 months ago. Select all that apply Correct: Traction should never be relieved without a primary healthcare provider's prescription. he charge nurse is making client care assignments for the evening shift This situation is considered an external disaster which means the hospital will be expecting multiple victims. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. 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? Correct: Communication is important in delegation, as is follow-up. Protective A nurse is caring for a client who is immobile. 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). Provides safe, effective delivery of patient care in . Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. A client with epilepsy reporting an odd smell in the room. Based on this information,what should the nurse do? What proposal would the nurse determine to best meet the needs of families and clients in long term care? What was the rationale for this plan? a. I will keep spare crutch tips handy A nurse just back from maternity leave. Changing the subject You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. 2. a. Clarifying Battery 4. 3. What is the appropriate assignment? a. Flashcards - chapter 7 - FreezingBlue 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. Which group of clients should she assign to the medical surgical nurse? . 4. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Did you think dehydration and fluid volume deficit? Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. Witness the client's signature A nurse is prioritizing care for two clients at the start of the shift. d. Providing information, a. A nurse is caring for a client whose partner asks to speak with the nurse. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. This individual should be provided appropriate comments of appreciation for this accomplishment. Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. 3. Monitor for GI upset 30 minutes after meals. Alcoholic Anonymous a. Which of the following responses should the nurse make? 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. 4. Which of the following actions should the nurse take? a. If your reasons for refusal were client safety, nurse safety, or an imperative personal commitment, document this carefully including the process you used to inform the facility (nurse manager) of your concerns. Correct. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. 3. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). The client asks about his medications and their effects. 3. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. Assessing this client and titrating the diltiazem requires the skills of an RN. a. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. 4. Incorrect: What seems to be going on with this client? This assumption is not appropriate, and the feelings and concerns of the client should be addressed. is a new graduate in orientation. The nurse has another priority. a. This action is a defensive intervention, and does not address the quarrelsome behavior. e. Throw rugs, 40. Lumbar puncture reporting a headache. Incorrect: This response overlooks a potentially severe problem. What information should the nurse include? d. Transporting a cerebrospinal fluid specimen to the lab Assign more daily tasks to the UAP. What should the nurse do first? C. Review a low-sodium diet for a client who has hypertension. c. Palpating for pedal edema The third client would be the one needing a dressing change. 3. This is a task that can be delegated to the LPN/LVN. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. c. Tie linen bags securely at the top The client states, "I'm feeling a bit nervous today." Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. Which client should the nurse see first? c. Complete an incident report He charge nurse is making client care assignments for the evening shift. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. 1. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. There is a possibility that a hypothermia blanket may be prescribed. The nurse should perform which of the following activities in this space? Involve the client in their plan of care. The nurse has been assigned four clients. 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. Assign a nursing assistant to help the client with self-care activities. Dexlansoprazole 30 mg PO daily. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. Call the family of a client suffering from dementia to discuss long term care placement. 1. a. I'll urinate a little then stop Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Which preoperative prescription should the nurse question? 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 . This is the most stable of the four clients which places this client last to be seen. The nurse should not lecture, scold or argue with the float nurse. Assist a client to ambulate using a gait belt. 4. Take several shallow breaths during the procedure NUR 212 Patient assignments.docx - M2.4: Making Client Care Showing disapproval 4. 1. A nurse is teaching a client about carbon monoxide poisoning. 1. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. The client was lying on the floor next to his bed 2. 2. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. Prepare a list of clients who could quickly be discharged or transferred. 1., 2., & 5. Based on the information provided in report, which client condition should be the nurse's priority? 4. Irrigate a client's ear canal. Which actions should be instituted by each unit's charge nurse? b. Massage any bony prominences to promote circulation 3. Which of the following explanations should the nurse provide? A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). 3. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. Incorrect: It is out of the UAP's scope of practice to administer medication. d. I have a set of my brothers' crutches in the basement I can also use, a. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. and 16 g of fat. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? 3. Place the client in low Fowler's position e. Suctioning a client's new tracheostomy tube, 93. a. Remind the client to avoid tight fitting clothes. 2. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. c. Take the client to the bathroom every 2 hr 4. 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. Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. Incorrect: The RN is responsible for assessment and evaluation. b. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Where on the body is each type of skin found? 3. 3. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. 4. c. I will make sure my visitors smoke outside This documentation should go to your manager. The charge nurse identifies that three admissions were received during the night shift, one nurse has called in sick, and the clients on the unit have high acuity levels. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. c. I suggest you talk with a mental health counselor about your concerns 1., 4., & 5. b. Urinary frequency for several days b. As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. 3. Ambulating a client who is 2 days post vaginal hysterectomy The assignment process requires constant evaluation and reevaluation of information and priorities. c. Request a tray without pork Nothing by mouth (NPO). a. I wish I didn't have to attach the electrodes to my skin Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. A Charge Nurse Role: The Ultimate Guide. a. Clarification Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. Which of the following actions by the nurse is considered an indirect nursing care activity? This schedule may leave some clients too exhausted to visit with family. Well, do you see the q.d.? Client with ureterolithiasis who requires frequent PRN pain medication. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. b. Aplastic Anemia Support Group. 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 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). Elevating the head of the bed 30- 40 for the client post thoracotomy Which of the following actions should the nurse take?
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