Feed the client after warming the food. Elderly client admitted 30 minutes ago with reports of constipation for four days. A charge nurse is making assignments for an oncoming shift. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. What is the major histological difference between thick and thin skin? Evaluate pain relief after narcotic administration. Which of the following statements should the nurse make? The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). Client prescribed antibiotics for cystitis. butter, which contain 16 g of protein, 7 g of carbohydrates, (Select all that apply.) d. Assault, b. 2. This could be devastating to the client if the decimal point is missed and the client receives 200 mg instead of the intended 20 mg of lisinopril. the nurse responds: "It must be very frustrating to encounter this kind of attitude." Which referral would most likely be appropriate for the nurse to make? 4. *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. 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. 1. 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. Twist at the waist when she moves an object to one side 1. We see that the temperature is already elevated, which makes us worry that infection is present. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? There is a trailing zero after the prescribed dose. Thus, the tasks involve successful management of the charge nurse's responsibilities. c. I will cover the catheter so he cannot see it Confrontation should occur in the presence of a charge nurse or supervisor. 2. d. Go to employee health services, b. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Which of the following methods should the nurse plan to use? b. b. Wash the tablet off with alcohol and place it in a clean medicine cup 2. Administering IV pain medication to a two day post op client. Which clients would be appropriate assignments for the LPN/LVN? Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? d. Place the tablet directly into a medication cup, 36. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department Correct: Communication is important in delegation, as is follow-up. b. Emptying a urinary drainage bag for a client who has pneumonia Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. a. Which of the following findings associated with urinary retention should the nurse expect? 2. Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? b. I will call the doctor and get the prescription b. I'll rewrap my ankle starting from the knee down This is normal for clients with hemorrhoids. A nurse is providing care to a client who is on strict bed rest following surgery. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. The client attempted to climb over the side rails and fell c. There is fluid leaking around the insertion site To remove gastric acid that might cause dyspepsia 2. 3. e. Feed a client who had a stroke 3 months ago, 32. b. Collecting I & O totals for unit clients at the end of shift. 3. 4. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. The stem does not indicate any loss of neurological function resulting from the seizure activity. A nurse is implementing direct nursing care for a group of clients in an acute care facility. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. a. d. Water heater temp 54.4 C (130 F) a. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. Nothing by mouth (NPO). 2. A nurse receives a client care assignment from the charge nurse that he believes is unfair. 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. Placing the traction weights on the bed to transfer the client to x-ray. Notify the primary healthcare provider. This service began with the client's admission to the hospital 5. a. I will wear gloves when removing food from the freezer 1-month-old infant with bronchiolitis with a respiratory rate of 60 6-month-old infant with pneumonia on oxygen 4-year-old child with nephrotic syndrome with 4 protein in the urine 6-year-old child 2-day post-op appendectomy with a surgical drain A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. Incorrect: Is phantom pain something that is unexpected with above the knee amputations? Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. M2.4 Making Client Care Assignments - GECC.pdf - Course Hero Ambulating a client who is 2 days post vaginal hysterectomy What was the hint? Donning gloves and using a gauze pad to grasp and remove dentures A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Changing the subject A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. d. Message, 67. 1. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. Cardiac catheterization with a decreased pedal pulse below insertion site. Teaching insulin self administration cannot be delegated to the LPN. A list of current medications is sent to the facility. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. a. What is the primary factor for the charge nurse to consider when delegating care? 1. Provide an adaptive feeding device for the client, 50. 2. 1. This client needs careful monitoring and specialized care. Teach caregivers memory enhancement aids. Incorrect: The RN is responsible for assessment and evaluation of clients. 4. Client with a T-5 spinal cord injury beginning rehabilitation therapy. Focusing d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. The abdominal pain is worsening. The best practice committee utilizes current research in their recommendations. c. Changing a dressing, 78. 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. Which of the following items should the nurse offer the client? 4. 3. The best practice committee works to improve clinical practice based on current research. Oral surgeon Correct: Talking to the nurses about client concerns and completing the client assignment sheet for oncoming staff will provide for a thorough shift change report. The client asks the nurse, "Why do I need that? Select all that apply 4. Which of the following actions should the nurse take? c. When asking the client how he completes his ADLs Receive report from the emergency department (ED) on a new client. 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. Vital sign measurement Encourage the client to be more cooperative. 4. Removing the client's dentures A nurse asks a client how he is feeling. a. Bathtub with rails 1. As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. c. Respite care helps relieve pain and promote comfort b. Urinary frequency for several days c. I will begin upon the client's admission to the facility a. Clarification 4. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. c. Explore the client's feelings about dietary modifications A nurse is planning to discharge a client who has quadriplegia to his home. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. An LPN/VN has been floated to the emergency room following a chemical plant explosion. 4. 2. . Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. Limit the client's fluid intake in the evening d. Wait to discuss the behavior in the presence of others, a. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com 3. d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12. 2. Which of the following should the nurse include as a criterion for applying restraints? which client would be an appropriate care assignment for this lpn? c. The client's culture Two nurses lifting the client under the shoulders Phone report to the receiving nurse. 5. a. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. A school-aged child with a fractured femur who is in balanced suspension traction. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. The nurse is using which of the following therapeutic communication techniques? Therefore, this client would not be a priority over a client who may be experiencing a MI. d. Proceed with the preparation of the patient's surgical procedure, 15. What action should the nurse implement first to ensure client safety? This client should report an improved respiratory, not shortness of breath. 6. Solved A charge nurse is making client care assignments. | Chegg.com a. I'll provide more stimulation in his environment The third client that should be assessed by the nurse is the client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. }? benefactor of the world. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. Try different methods of oral care on unresponsive clients to see what works best. Determining the client's length of stay d. Voided 30 mL frequently Notify the charge nurse of the observations. Which client should be assigned to the most experienced nurse? The client is considered unstable until assessed by the nurse. c. Industry vs inferiority 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). d. Transporting a cerebrospinal fluid specimen to the lab Which of the following items should the nurse include on the lunch tray? a. d. I will take my medications at the first sign of an attack, d. To identify delayed gastric emptying (the nurse should measure the amount of unabsorbed formula from the previous feeding to identify delayed gastric emptying; if it is delayed the nurse should avoid overfeeding the client and causing gastric distention), 42. Feed a client that had a stroke 3 months ago. Nothing life threatening, but an assessment needs to be made regarding the ulcer. 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 d. Custard a. Dexlansoprazole 30 mg PO daily. c. Shivering a. The spouse can rescind the Advance Directive if the client becomes unresponsive. Administer tap water enemas until clear at 6 AM. the nurse responds, "don't worry, no one will harm your family." The client reports constipation for 4 days which may be an indication of worse problems. Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. 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. 1. What task would be best to assign to the LPN/LVN? Describe the types of machining operations that can be performed on a lathe. This client needs ongoing monitoring which is within the scope of practice for the LPN. Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. 6. 1. Which of the following communication techniques should the nurse use during this phase? 4. Which of the following approaches should the nurse use when using confrontation? Which action by an unlicensed nursing assistant would require the nurse to intervene? 1. b. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. d. Sleep apnea Suggest splitting the shift with another nurse. The nurse should perform which of the following activities in this space? Client who is a diabetic experiencing diabetic neuropathy. 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. It would not be appropriate to overload this new employee with extra work. 2. Which of the following instructions should the nurse give to the client prior to the procedure? 2. In which harmonic number n is the string vibrating? c. Gender Decreased RBC production This client is at a high risk of infection. a. Which of the following explanations should the nurse provide? Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. This is likely cholelithiasis, which will need to be checked out. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Because the charge nurse observes and weighs . Which of the following instructions should the nurse include? d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. An Advance Directive includes a Living Will and a Medical Power of Attorney. b. The nurse received a client following surgery 8 hours ago. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. 1. Decreased or suppressed respiration are priority. Rewrite each incorrect sentence to correct the error. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Tenderness over the symphysis pubis A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. When handling any disaster, a facility must have a "command center" that is operated by outside personnel such as a Fire chief, Police, Swat or other outside emergency persons. c. Foot Which of the following indications should the nurse include? However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. The nurse should not lecture, scold or argue with the float nurse. 3. a. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. Write N next to the nonessential clauses and E next to the essential clauses. Assist the float nurse with the clients case. Incorrect: What seems to be going on with this client? Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. But the client does need to be assessed prior to the client with Crohn's disease who is improving. This can prevent harm to client's. c. Washes and rinses her hands for 10 seconds, 11. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. Performing passive range of motion (ROM) on the client with right sided paralysis. There are a total of 10 adult clients. 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 nurse is caring for a client who expresses anxiety about his impending surgery. b. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. Most of the following sentences contain errors in the use of modifiers and comparisons. Select all that apply. 4. 3. The expected standard of care was strict bed rest), 96. 1. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Alert all off-duty personnel to stand by in case of call- in. Symbolic communication 3. Speak to the UAP to determine what happened with the feeding. The client is getting better. The nurse suggest that the family might need to respite care services. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. This service began with the client's admission to the hospital, 18. 2. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. The surgeon initially prescribes a clear liquid diet.

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