Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Denial d. Highly concentrated urine, 91. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. Which of the following statements by the student indicates understanding of the discussion? d. Determine if the client uses hearing aids, b. d. Services are centered in long-term care facilities, a. Which of the following actions should the nurse take first? c. The client's culture (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago. Which response by the LPN is appropriate in response to the inappropriate delegation? a. d. Bend at the knees when picking up an object, 99. It is not a routine task. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. The client is getting better. Ask the primary healthcare provider to suggest the best oral care procedure. 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. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. What is the major histological difference between thick and thin skin? Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. 3. A nurse asks a client to share personal stories. NURSING ASSIGNMENT- delegation in the workplace | Studymonk }? benefactor of the world. 2. 3. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. 2. c. Raised toilet seats Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? The reason for the UAP not feeding the client needs to be determined. 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 gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. 1. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. b. I will come back later and we can talk Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. Schedule visiting times in two-hour increments so clients are not overwhelmed. The client asks the nurse, "Why do I need that? Incorrect: An experienced neurological nurse should be assigned to this client due to the possibility that damage to the hypothalamus which controls body temperature has occurred. NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. Which of the following actions should this nurse take? Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. 2. 1. Assist the float nurse with the clients case. 1. When a family member asks how respite care can help, which of the following responses should the nurse provide? A school-aged child with a fractured femur who is in balanced suspension traction. 4., & 5. A nurse is caring for a client who has emphysema and has difficulty with mobility. Something new could have occurred with the clients, making the assignments too heavy. c. Use an aggressive tone of voice 7. 4. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. A nurse is planning care for a female client who has an indwelling urinary catheter. e. Feed a client who had a stroke 3 months ago, 32. a. The client must understand the need for restraints What is the appropriate assignment? a. Assist a client to ambulate using a gait belt 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. Which of the following instructions should the nurse include? It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. a. Therefore, this would not be the most appropriate nurse to assign to this client. b. 5. Select all that apply Provide positive feedback to the UAP. A charge nurse is making client care assignments. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. Making Client Care Assignment NUR 211: Module 4 Assignment Rationale: The patient is stable, she will need to teaching on self-care after a pacer insertion. Which client should the nurse see first? Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. Client diagnosed with Guillain-Barre' who is receiving ventilator support. a. 8 Steps for Making Effective Nurse-Patient Assignments Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. 1., 2., 3., & 4. A two-hour limit on visits discourages quality time. Monitor for GI upset 30 minutes after meals. Removing the abdominal dressing A client with an above the knee amputation reporting phantom pain. Nothing life threatening. However, providing care for missing teeth would also be within the LPN scope of practice. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. Which of the following indications should the nurse include? Return any fresh linen not used for a client to the linen supply area b. Include any relevant statements the client made about the ulcer, 64. b. The nurse should perform which of the following activities in this space? Report of feeling pressure Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". d. Proceed with the preparation of the patient's surgical procedure, 15. 1. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. b. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. 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). When staff do not feel vested in any new process, there is a sense of underappreciation. c. Holds the soiled linen against her body while carrying it to the linen bag Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Incorrect: Obtaining the urinary output of a client at the end of the shift is appropriate for the nursing assistant and should be documented and reported to the RN. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. Nursing Brain Sheet 4 Patients - luoe.expertoendermatologia.es A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. Ask for any staff objections to rearranging work hours. A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Ask the charge nurse to evaluate the intervention. assignmentcafe.com - A charge nurse is making assignments for nursing Place in priority order. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? Nothing will get passed the complete blockage. The last client would be the one needing dietary education. (Select all that apply.). c. Distended bladder b. 3. Incorrect: Moistening the dentures will ease insertion. d. I have a set of my brothers' crutches in the basement I can also use, a. 2. Use double bagging to remove soiled linen from the client's room Client to receive dietary education. 2. 6. Of my three brothers and sisters, my sister Giselle has the best sense of humor. A nurse is creating a discharge plan. Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. 3. 2. A nurse instructs a female client about collecting a midstream urine sample. Teach the UAP to change surgical dressings. 3. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. Which action should the nurse interrupt the UAP from performing? INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Request a prescription for a medication to ease the client's anxiety A nurse is caring for a client who is postoperative following an appendectomy. 4. This individual should be provided appropriate comments of appreciation for this accomplishment. 3. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. Transfer essential medical record to the receiving facility. A nurse is adhering to standard precautions while caring for a group of clients. d. Remove and reinsert the NG tube, a. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. The nurse received a client following surgery 8 hours ago. What action should the nurse take after mistakenly administering the wrong medication? b. Verbalize understanding of how the client feels Which of the following actions should the nurse take? What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? 5. Gather and apply dressings to open wounds. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Select all that apply Which of the following actions should the nurse perform when opening the sterile pack? A nurse is discussing indications for urinary catheterization with a newly licensed nurse. The nurse is responsible for the assessment of all vital signs of post-op clients. Which of the following findings should the nurse identify as a safety risk? a. a. Auscultate breath should at least ever 2 hr b. A client requesting assistance packing his belongings for discharge later today.. 1. A nurse enters an older adult client's room to insert a saline lock. A nurse has completed an informed consent form with a client. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. 4. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? Incorrect: A slightly decreased pedal pulse to the affected extremity is not unusual following cardiac catheterization. Drag and Drop the items from one box to the other. Injuries from a motor-vehicle accident can be life threatening. C-section planning discharge, postpartum infection, mastectomy. Which of the following actions should the nurse take? Select all that apply Making client care assignments As the RN charge | Chegg.com 3. It is within the LPNs scope of practice to administer antibiotics. Review the action of insulin therapy The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Wears a gown when entering the room of a client who requires contact precautions Monitor for behavioral changes. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. 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. NUR 112 Practice Assessment Flashcards | Quizlet Which of the following items should the nurse include on the lunch tray? 5. 3. b. Negligence A client receives a wrong medication. A nurse is caring for a client who has a wound infection. On an ongoing basis, the charge nurse evaluates individual and collective outcomes of the patient care provided during their shift, compares patient care delivery to accepted standards, adjusts assignment of resources as necessary, and reports changing needs and outcomes to the health care staff. a. Which of the following methods should the nurse plan to use? Initiate oxygen and IV lines as needed. Dexlansoprazole 30 mg PO daily. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. The charge nurse might not have realized all the responsibilities of taking this team of clients. d. They disclose more personal information, a. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Notify the primary healthcare provider of transfer completion. e. Suctioning a client's new tracheostomy tube, 93. (Select all that apply.) Gather supplies to prepare room for isolation. Complete blockage of the large intestine. Incorrect: This again is assessment which is the role of the RN only. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. Could you try contacting a support group Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu Also, making a surgical bed for the client returning from surgery is a basic procedure. 2. C. Review a low-sodium diet for a client who has hypertension. 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. The client reports constipation for 4 days which may be an indication of worse problems. The charge nurse knows what client would be most appropriate for this LPN? Personal liability coverage is not mandatory, but you should consider purchasing your own coverage You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. In order to reorganize staffing, the nurse manager should initiate which action first? Accept the client's behavior as confrontational. 2. Because positioning on a bedpan requires rolling of the client, an RN should be assigned to assess the insertion site and monitor for the presence of bleeding. 4. This service focuses on teaching the primary caregiver to meet the client's needs ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. 1., 2., 4., & 5. Teaching is not in the role of the LPN and therefore, this client would need to be assigned to the RN, not the LPN, for the teaching needs of the client. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. d. What have you done in the past to cope with this issue? Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. Nursing questions and answers. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. 3. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. (Select all that apply.). Convenience for the nursing staff or the client's family 1. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. 4. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. A nurse is preparing a sterile field. Feed the client after warming the food. c. Notify the nurse manager Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? c. We administer all medications intravenously to clients in this unit 1. Did you recognize ureterolithiasis as "kidney stones"? Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to withdraw consent therefore the surgeon should be the one notified of the request), 14. c. imaginary The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). 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. Reach around the pack and open the top flap away from the body 1. Select all that apply Which of the following actions indicates that the AP understands the principles of infection control? Select all that apply. A charge nurse is making client care assignments. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. The infusion rate has stopped but the tubing is not kinked 8. 3. 4. Obtain a client's consent Charge Nurse II- CNII - jobs.freseniusmedicalcare.com
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