a charge nurse is making client care assignments

Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. Have another nurse guard the medication preparations until the nurse returns The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). The client reports constipation for 4 days which may be an indication of worse problems. The charge nurse is planning assignments on a medical unit Which client a. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. 5. 1. Client diagnosed with inoperative brain tumor who is confused. Turn on local news for up-to-date information on the train derailment. A client with a fractured right humerus who reports the cast is too tight. Everything will be okay 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. 2. 1. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. This referral would be appropriate. Client one day post kidney transplant. 1. Who should the nurse see first? Delegate 2 nurses to work with the client. Denial This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. Which of the following actions by the nurse is considered an indirect nursing care activity? Teach the UAP to change surgical dressings. A client with fibromyalgia reporting generalized pain of 7 out of 10. b. 2. 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. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. Obtain a client's consent 2. 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. 2. Which of the following actions should the nurse take prior to administering the tube feeding? a. Select all that apply c. Hold an object away from her body as she lifts it Administering IV pain medication to a two day post op client. c. I'll need to shave the hair off the skin where I place the electrodes a. Shakes the soiled linen to remove any toilet paper remnants 1. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. a. Each state BON differs in that also some have treatment programs they administer themselves. 4., & 5. Anyone over age 18 can have an Advanced directive. b. The nurse has been assigned four clients. 3. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. 2. a. Broth Refuse the overtime assignment, being prepared for disciplinary action. 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. This can prevent harm to client's. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Which of the following types of torts has the nurse committed? The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. b. Incorrect: The client does need to be cleaned out below the tumor so that the primary care provider can see the area of concern and complete the biopsy. What should the nurse do first? The command center is the only reliable source of information and will make any decisions needed by hospital personnel. a. 3. Which of the following instructions should the nurse include? 3. Speak to the UAP to determine what happened with the feeding. d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. c. Confrontation Nothing will get passed the complete blockage. The LPN/LVN can reinforce teaching. Discuss the competency of the surgeon The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. 5. b. I can detect the presence of carbon monoxide by a metallic odor Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. b. I will keep the fluorescent ceiling light on in my room at night Both of these clients are terminal. The last client would be the one needing dietary education. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). (Select all that apply) 1. d. Go to employee health services, b. 1. Have a pen and paper handy The fourth client the nurse should assess is the client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. 2. a. Feed a client that had a stroke 3 months ago. The surgeon initially prescribes a clear liquid diet. b. What was the hint? Client scheduled for a dressing change to foot ulcer. Change the subject when the client behaves defiantly As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. 3. Which of the following actions should the nurse take? Which of the following findings indicates that the client is meeting this goal? 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. Evaluate client's safety risk factors. Everyone knows there are others who can chair this committee better than me e. Throw rugs, 40. When the licensed person cannot determine this, the task should not be delegated. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? 1. "Please explain what you mean by the word 'nervous'.". a. I'll urinate a little then stop During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. This is on the "Do Not Use" list of abbreviations because the period after the "Q" can be mistaken for "I", which would be interpreted as qid (four times a day) instead of the intended once daily dosage. 5. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. Nothing life threatening. d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37. A nurse is adhering to standard precautions while caring for a group of clients. A nurse is creating a discharge plan. This is an appropriate prescription. There are a total of 10 adult clients. c. Depression This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. Client scheduled for breast reconstruction after mastectomy. Select all that apply c. The client was restless and trying to get out of the bed all evening Which of the following statements by the student indicates understanding of the discussion? 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. a. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. c. Provide the client with a diet high in protein I'm drinking plenty of fluids." e. an open perineal wound, 92. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. What task would be best to assign to the LPN/LVN? 2. Write N next to the nonessential clauses and E next to the essential clauses. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. a. Elicit info from the client A nurse asks a client how he is feeling. Select all that apply. Which of the following findings should the nurse expect? d. When asking if the client took his medications this morning, 82. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. 208 Charge Nurse - RN | Fresenius Karriere 1. a. Reposition the client every 3 hr A charge nurse is planning client activities for the day. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. Which of the following actions is the nurse's priority? 2. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. a. a. Following the teaching, the nurse asks the client to describe one physical effect. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. Removing the client's dentures nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. Which of the following actions is an example of a violation of confidentiality? Following a large hurricane, multiple clients arrive at the emergency room for treatment. a. Hypotension Correct: The UAP can remind the client to do something that has already been taught by the nurse. 4. Elevating the head of the bed 30- 40 for the client post thoracotomy 3. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. 4. Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. Ask the RN why the assignment is too heavy. A nurse is teaching a client who has a history of falls about home safety. a. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. 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. This client can wait until the others are treated. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. Solved 4. A charge nurse is making client care assignments. | Chegg.com Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 a. b. Assess the client a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. 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. Dentures should be stored in a denture cup. Triage and assign color-coded tags to each client. 3. b. 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. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. Select all that apply. c. I will complete the smoking cessation program I started Which region of the tRNA pairs with mRNA? Normally, red blood cells are flexible and round, moving easily through blood vessels. d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. a. 1. Review the action of insulin therapy Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. D. The charge nurse is planning the staff assignments for the clients on a neurological unit. Right forearm Use adult diapers to prevent frequent clothing changes 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. Explain administration is demanding a decreased overtime. Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. 2. C. Review a low-sodium diet for a client who has hypertension. Talk to each nurse about concerns related to assigned clients. b. 3. 1. a. Auscultating heart sounds 3. Incorrect: This group of clients needs specific teaching. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. 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. A family member requests that the nurse apply restraints. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. Use the tablet's packaging to pick it up from the counter Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. A nurse is preparing to obtain a blood specimen from a client by venipuncture. a. I will begin 48 hr before the client's discharge An experienced person who can research "best practice" regarding the issue is needed. Ask the client to perform a return demonstration of insulin injection Teach caregivers memory enhancement aids. A nurse who is on hormone replacement therapy. Correct: The client must have lost decision-making capacity because of a condition that is not reversible or must be in a condition that is specified under state law, such as a terminal, persistent vegetative state, irreversible coma, or as specified in the Advanced Directive. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Involve the client in their plan of care. Client with ureterolithiasis who requires frequent PRN pain medication. Client prescribed antibiotics for cystitis. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. A charge nurse is making client care assignments. c. Nonfat milk b. Wash the area of the puncture thoroughly with soap and water a. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. 1. The client is getting better. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. a. b. The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). e. Dysuria, 49. 8. The nurse on a large surgical unit needs to evaluate several clients returning from procedures. 2. 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. e. Talking with the client's partner, 79. Airborne 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. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). However, it remains true pain for this client and the client would need intervention to help manage this pain. d. Message, 67. 2. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. A nurse is assessing a client who is experiencing prostatic hypertrophy. 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? he charge nurse is making client care assignments for the evening shift A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. A school-aged child with a fractured femur who is in balanced suspension traction. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a e. Suctioning a client's new tracheostomy tube, 93. 4. For which of the following tasks should the nurse wear protective eye equipment. A nurse is caring for an older client who is at risk for skin breakdown. A nurse is assessing a client who has narcolepsy. 5. Speak to the UAP first and then decide if a between meal supplement is needed. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. If you give the magnesium citrate, which is a laxative, what will happen? *HURST REVIEW Qbank/Customize Quiz - Leadership 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. 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. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. }? benefactor of the world. This is normal for clients with hemorrhoids. b. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. Select all that apply. a. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? 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. Donning gloves and using a gauze pad to grasp and remove dentures The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. Assist ait to ambulate using a gait belt. c. Distended bladder ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Client eating a simple-carb snack due to weakness. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Elderly clients have special fluid and electrolyte issues after a fall. c. The nurse may serve as a witness to informed consent for organ donation d. Proceed with the preparation of the patient's surgical procedure, 15. Injuries from a motor-vehicle accident can be life threatening. Nursing Brain Sheet 4 Patients - luoe.expertoendermatologia.es Initiative vs guilt 4. Sudden attacks of sleep The charge nurse's best response is to first obtain the needed information to make the best decision. 1., 4., & 5. 3. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. 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? Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. Drag and Drop the items from one box to the other. There are a total of 10 adult clients. Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER a charge nurse is making client care assignments for the day. Administer tap water enemas until clear at 6 AM. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. A cardiac step down unit has requested float staff because of multiple impending admissions. When staff do not feel vested in any new process, there is a sense of underappreciation. d. Sleep apnea 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). They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. This task cannot be delegated to the LPN/LVN. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. A client with epilepsy reporting an odd smell in the room. Assist client to brush and floss teeth. Accept assignment, documenting personal concerns regarding work conditions. 1. 1, 3 & 5. 4. d. Remove tea and coffee from meal trays, b. b. eminent 4. This is a task that can be delegated to the LPN/LVN. Which tasks should the charge nurse delegate to the nursing assistant? LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. Empty the drainage bag at least every 8 hrb.) 2. Observe the client before taking further actions d. Counting radial pulse Moistening the dentures prior to inserting them Which clients should be assigned to the CNA? 4. 2. b. Irrigate the wound with an antiseptic prior to obtaining the specimen Incorrect. Which of the following statements should the nurse identify as an indication that the client needs further teaching? A nurse is caring for a client who expresses anxiety about his impending surgery. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. 1. 4. This is outside the scope of practice for the LPN/LVN. a. 1., 2., 4., & 5. Rewrite each incorrect sentence to correct the error. What is the primary factor for the charge nurse to consider when delegating care? 5. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. The nurse should initiate a referral with which of the following members of the interprofessional health care team? a. Clarification Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. A charge nurse is making client care assignments. There will likely be both physical and emotional injury that needs attention, which places this client third. 4. c. The emphasis is on the client's complete recovery from the illness or injury 1. What is the best first action for the nurse to take in order to achieve this goal? Encourage client to express grief related to loss of independence. Problems in Delegation: A Busy Day on the Floor - Quizlet b. c. Palpating for pedal edema Which of the following statements should the nurse make? 3. & 6. b. Urinary frequency for several days Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. When a family member asks how respite care can help, which of the following responses should the nurse provide? Risperidone .5 mg PO daily 2. The RN with 5 years' experience in the Labor and Delivery unit. ATI Leadership and Management Questions - Leadership Management of Care This schedule may leave some clients too exhausted to visit with family. 6. Identify and assess each incoming client. 2. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. 3. This service began with the client's admission to the hospital An LPN/VN has been floated to the emergency room following a chemical plant explosion. A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. 3. Documentation of what occurred, and the client's assessment is required in the nurse's notes. c. Shivering Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. 1. The charge nurse on the postpartum unit is making assignments. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. Teaching insulin self administration to a diabetic client. Warm the feeding solution to the body temperature 2. One nurse lifting as the client pushes with his feet 4. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. 1. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Semi-formed stools are great news! d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Gathering needed equipment and supplies is within the scope of duties for the UAP. d. Anger, b. This client is stable and predictable. Show client who has conjunctivitis how to clean the eyes. A nurse who is 10 weeks pregnant. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. Assign a nursing assistant to help the client with self-care activities. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. 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. Incorrect: While it is true that the nurse manager is ultimately responsible for implementing and announcing new schedule changes, doing so without any staff input can create discontent in the work environment. This action is a defensive intervention, and does not address the quarrelsome behavior. Ask the charge nurse to evaluate the intervention. 5. What is the most appropriate action by the charge nurse? What is the best response by the charge nurse? What task would be best to assign to the LPN/LVN? A client with exacerbation of COPD reporting dyspnea. A nurse has completed an informed consent form with a client. 2) Assist a client to ambulate using a gait belt. d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. 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. Bathtub with rails b. a. Gloves Inform the client of the need to avoid irritants such as carbonated beverages.

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