Andre Johnson Mother Melissa Mitchell, 2 Syllable Words Ending In Y, Messi 91 Goals 2012 Stats, Articles A

1., 2., 4., & 5. Remind the client to tell the nurse when he has to urinate 2. Donning gloves and using a gauze pad to grasp and remove dentures Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? The RN with 8 years' experience in the Intensive Care Unit. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. A home health nurse is conducting a home safety assessment for an older adult client. A nurse who is 10 weeks pregnant. A nurse is caring for a client who states, "I have got to get out of this hospital! c. Visual observation for nonverbal signs of pain c. Lock the medication in a room and finish preparing it after returning from the emergency Call the client's provider Right forearm But the client does need to be assessed prior to the client with Crohn's disease who is improving. 3. c. Palpating for pedal edema Report the incident to the charge nurse Incorrect: This prescription is written correctly. d. Social conversation, a. Ask the RN why the assignment is too heavy. The client can indicate desire for Do Not Resuscitate (DNR). Which of the following findings associated with urinary retention should the nurse expect? Ask the primary healthcare provider to suggest the best oral care procedure. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. The nurse suggest that the family might need to respite care services. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. The nurse has been assigned four clients. The first vital sign check was performed by the nurse. Four clients arrive for their appointment at a diabetic clinic. So what is wrong with option #1? The healthcare team should recognize the client as the center of the team. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. d. Determine if the client uses hearing aids, b. 4. 1 To confirm the placement of the NG tube 4. 3. A nurse asks a client to share personal stories. Accept assignment, documenting personal concerns regarding work conditions. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. 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. 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. e. The urge to move the legs when trying to sleep, 66. Which of the following nontherapeutic communication techniques is the nurse using? d. Talk with the client's partner, b. A client with COPD complaining of shortness of breath on exertion. Elevating the head of the bed 30- 40 for the client post thoracotomy 208 Nurses Report Sheet Template Nicu. b. The facility has insurance that will cover malpractice litigation Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? The charge nurse delegates a licensed practical nurse (LPN) to perform an intervention that is not within the scope of practice for the LPN. e. Dysuria, 49. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a 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? The nurse on a large surgical unit needs to evaluate several clients returning from procedures. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. 1. When assigning nurses to patients, the charge nurse must consider the acuity of the patient's condition, the skills of the nurse, and the availability of other staff members. It's unfortunate that I have to be in the hospital for this treatment 1. Well, do you see the q.d.? Which clients should be assigned to the CNA? 1. Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. Notify the nursing supervisor of the situation. Everyone knows there are others who can chair this committee better than me Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. c. When asking the client how he completes his ADLs Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? Select all that apply. b. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." b. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. 3. Select all that apply A nurse is adhering to standard precautions while caring for a group of clients. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. 3. Incorrect: The RN is responsible for teaching. This is an elderly client who is a new admit. d. Left forearm, b. Which client would be appropriate for the RN to assign to the LPN? Which of the following instructions should the nurse include? NUR 212 Patient assignments.docx - M2.4: Making Client Care c. Hand-off technique 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. 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. 2. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. 3. Narrative interaction (involves asking a client to share personal stories so the nurse can better understand the context of a client's life in the working phase of a nurse-client relationship), 47. Empty the drainage bag at least every 8 hrb.) d. Transporting a cerebrospinal fluid specimen to the lab Increased insulin production Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. 3. The body needs vitamin B12 to make red blood cells. 6. All these clients have a GI problem. Which of the following statements should the nurse identify as an indication that the client understands the instructions? 4. 1. Which of the following approaches should the nurse use when using confrontation? Solved 4. A charge nurse is making client care assignments. | Chegg.com Pick up the tray and tell the UAP that they didn't do a good job. Even though the client is a child, superficial burns require only dry sterile dressings and possibly oral pain medication, both tasks which are within the scope of practice for an LPN. a. Which of the following actions should the nurse take? d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound a. A client with atrial fibrillation currently on a diltiazem drip. Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. The LPN/LVN can reinforce teaching. A charge nurse is making client care assignments. d. Respite care is a continuation of psychological support after a family member dies. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Assist the float nurse with the clients case. 4. Clients over the age of 65 must have a saline lock according to facility policy The client is apparently stable and does not require any advanced assessment skills or specialized care. Elderly client admitted 30 minutes ago with reports of constipation for four days. Which of the following actions should the nurse include in the plan? 5. Besides, a charge nurse is a leader on the floor and should possess . Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. 5. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. This stage is when testing occurs to identify boundaries of interpersonal behaviors This schedule may leave some clients too exhausted to visit with family. Speak to the UAP first and then decide if a between meal supplement is needed. 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. b. A charge nurse is planning client activities for the day. which client would be most appropriate to assign a licensed practical nurse (lpn)? Which client should be assigned to the most experienced nurse? 3. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. UAPs can assist with elimination and are taught how to measure output. Teaching insulin self administration to a diabetic client. The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. Besides yourself, there are the following staff: Your unit has 12 beds. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. The nurse does not know the skills of the new UAP. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. c. Changing a dressing, 78. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". 4. d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. Client eating a simple-carb snack due to weakness. b. Nothing by mouth (NPO). 2. _____The house that we lived in for nine years has been sold. b. 4. c. Assist the client to the floor and begin mouth-to-mouth The nurse should not be assigned to provide care if impairment is suspected. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? Lisinopril 20.0 mg PO daily NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet Correct: If suspicious behavior occurs, it is important to keep careful, objective records. This service began with the client's admission to the hospital A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. Announce the new changes at the monthly staff meeting. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). a. c. I'll need to shave the hair off the skin where I place the electrodes b. Ambulating a client who is 2 days post vaginal hysterectomy 2. b. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. Bargaining Incorrect: Atrial fibrillation places the client at risk for blood clots. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. Serve milk products separately from meals 1. a. A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. 1. Removing the client's dentures Elderly client who fell and fractured the left femoral neck. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. The nurse also needs to be aware of the color and amount of urine voided. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. Channel A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. Focus on the client's present circumstances instead of his personal stories Talk to each nurse about concerns related to assigned clients. Oral surgeon A client receiving heparin injections for deep vein thrombosis. During exacerbation, the client will have many diarrhea stools. Which of the following actions should the nurse take? 4. When the licensed person cannot determine this, the task should not be delegated. 2. Correct: The client may be experiencing a myocardial infarction and requires further assessment. Aplastic Anemia Support Group. 3. a. Elicit info from the client It is not a routine task. The nurse asks why the client needs to know this. 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. Incorrect: The client does need to have food; however, there is another action that should be performed first. 3. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. Monitor for GI upset 30 minutes after meals. Which of the following actions should the nurse take regarding informed consent? A nurse is developing a plan of care for a client who does not speak the same language as the nurse. d. Go to employee health services, b. Which of the following findings indicates that the client is meeting this goal? Wrapping the dentures in tissue while the client sleeps Correct: Did you notice the hint? Dexlansoprazole 30 mg PO daily. There is a possibility that a hypothermia blanket may be prescribed. d. Counting radial pulse, 100. Two hours . b. I will come back later and we can talk Protective Use double bagging to remove soiled linen from the client's room 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. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. Refuse the overtime assignment, being prepared for disciplinary action. a. b. Most of the following sentences contain errors in the use of modifiers and comparisons. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. b. 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. assignmentcafe.com - A charge nurse is making assignments for nursing the nurse responds: "It must be very frustrating to encounter this kind of attitude." A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? d. Routine acquisition of a urine specimen The client receives home health care and spends most of his day in a reclining chair. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. a. A Medical Power of Attorney is a type of Advance Directive that appoints a health care agent to make decisions on the client's behalf when the client is unable to do so. *HURST REVIEW Qbank/Customize Quiz - Leadership a. 3. Teaching insulin self administration cannot be delegated to the LPN. When staff do not feel vested in any new process, there is a sense of underappreciation. d. I shouldn't advice you about what is ultimately a personal decision, b. This client can wait until the others are treated. c. Washes and rinses her hands for 10 seconds and 16 g of fat. Encourage the client to use self-exploration Rewrite each incorrect sentence to correct the error. Elderly clients have special fluid and electrolyte issues after a fall. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. Notify the primary healthcare provider of transfer completion. 1. Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. 4. Performing passive range of motion (ROM) on the client with right sided paralysis. Problems in Delegation: A Busy Day on the Floor - Quizlet Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) 4. 1. (SATA) -Bathing a client who had an amputation 2 days ago. Provide an adaptive feeding device for the client, 50. 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. A nurse is engaging in relationship counseling with a male client. Did you think dehydration and fluid volume deficit? Select all that apply Select all that apply. 2. c. We administer all medications intravenously to clients in this unit 1. Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. c. Notifying the provider of physical exam findings Which region of the tRNA pairs with mRNA? Assigning blame for the changes to administration will not help staff adjust. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. The client is getting better. Correct. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? 2. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. For which of the following actions should the nurse intervene? The client was lying on the floor next to his bed (nurse should document what they actually see), 68. A nurse is caring for a client who has limited hand movement. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Report of feeling pressure Select all that apply. a. A high concentration of carbon monoxide can cause death However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. d. Droplet, d. Bend at the knees when picking up an object, 98. e. Throw rugs, 40. Incorrect: This again is assessment which is the role of the RN only. Incorrect: If a report is made to the BON, it should be a factual documentation of specific events and actions, not a statement of impairment. Tenderness over the symphysis pubis 2. Assign more daily tasks to the UAP. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Client reporting a headache and has a fruity breath. b. This should not be delegated to the LPN/LVN. The charge nurse is planning assignments on a medical unit Which client Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen Correct: An LPN should be assigned clients with predictable outcomes. 4. 1. A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. This client needs careful monitoring and specialized care. Serve food that have a hot/cold balance 2. What is the best first action for the nurse to take in order to achieve this goal? Discarding the first urine voided by the client starting a 24 hour urine test. a. Briefly assess every client. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Asking for an explanation For which of the following tasks should the nurse wear protective eye equipment. The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. a. Place the pack on a sterile work surface b. In option #4, we see that the leading zero is missing from the prescription. Lumbar puncture reporting a headache. a. c. Decreased sodium excretion A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." 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 nurse who is on hormone replacement therapy. 4. This is outside the scope of practice for the LPN/LVN. c. Take the client to the bathroom every 2 hr a. I'll sit with my knees lower than my hips 4. b. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. Which of the following statements should the nurse identify as an indication that the client needs further teaching? c. I should purchase a carbon monoxide detector for my home 1. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. The assignment process requires constant evaluation and reevaluation of information and priorities. 3. 2. Anyone over age 18 can have an Advanced directive. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. Which of the following info should the nurse include? The option does not say the client is terminal, in a vegetative state, or in a coma. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? 212 Incorrect: Moistening the dentures will ease insertion. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. The LPN should refuse the intervention. 4. a. This client is not the nurse's first priority. 2. a. The client with cystitis is stable and has a predictable outcome. Select all that apply This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. The client then states, "I have changed my mind and do not want to have the procedure done." The best practice committee works to improve clinical practice based on current research. 1. a. I will begin 48 hr before the client's discharge Which of the following actions is the priority for the nurse to include in the client's plan of care? 4. a. The spouse can rescind the Advance Directive if the client becomes unresponsive. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. 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 Charge Nurse Role: The Ultimate Guide. 2. Select all that apply 3. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. 2., 3. Client prescribed antibiotics for cystitis. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. 1. d. Do you think crying will help? c. Hold an object away from her body as she lifts it Feed the client after warming the food. Show client who has conjunctivitis how to clean the eyes. The supervisor can only send one LPN/LVN to the floor. 1) Bathe a client who had an amputation 2 days ago. The charge nurse on the postpartum unit is making assignments. Place the client in low Fowler's position Incorrect: This is not completely practical for everyone. Which of the following sites should the nurse plan to use to obtain the blood specimen? 1. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. 4. 1. a. 3. 1. a. b. There are a total of 10 adult clients. (Select all that apply) Ask the charge nurse to evaluate the intervention. 4. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Prior to turning feeding back on, tube placement needs to be verified. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? A family member requests that the nurse apply restraints. Which of the following info should the nurse include? 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. b. Wash the tablet off with alcohol and place it in a clean medicine cup Which group of clients should she assign to the medical surgical nurse? 6. Suggest splitting the shift with another nurse. 1. Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. In what order should the emergency department triage nurse send these clients to a room for treatment?