Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) b. Encourage the client to be more cooperative. a. a. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? This referral would be appropriate. b. I'll do exercises that strengthen my abdominal muscles }? benefactor of the world. 4. What is the primary factor for the charge nurse to consider when delegating care? c. Document in the client's medical record that she completed an incident report A charge nurse is making client care assignments. 5. One nurse lifting as the client pushes with his feet 4. Select all that apply Assign a nursing assistant to help the client with self-care activities. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day 4. Only a plain enema or soap enema can be given by the UAP. 1. d. Voided 30 mL frequently Have another nurse finish preparing the medications Allow the UAP to work without supervision. Point out inconsistences in the client's behavior A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. The LPN should refuse the intervention. The nurse has been assigned four clients. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. 2. Which of the following statements should the nurse make? Client two days post percutaneous endoscopic gastrostomy (PEG) placement. 3. Serve milk products separately from meals It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. The situation should be explored before bringing the supervisor in on the situation. Semi-formed stools are great news! What interventions can the nurse delegate to the LPN/VN? For which of the following tasks should the nurse wear protective eye equipment. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. Refuse the assignment, being prepared for disciplinary action. Drag and Drop the items from one box to the other. Explain administration is demanding a decreased overtime. 1. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. 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 Client reporting epigastric pain and nausea after eating. d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. a. Clarification 4. Place in priority order. d. Respite care is a continuation of psychological support after a family member dies. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. This documentation should go to your manager. c. Changing a dressing As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. Reporting laboratory findings to a member of the client's family This assumption is not appropriate, and the feelings and concerns of the client should be addressed. Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. Show client who has conjunctivitis how to clean the eyes. Yes! What is the best care assignment for this client? This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. c. Hallucinations at the onset of sleep 1., 2., 3., & 4. Comatose client with end stage chronic obstructive pulmonary disease. Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. Gathering needed equipment and supplies is within the scope of duties for the UAP. 5. The cleint's family asks the nurse for info about this type of care. b. b. A client with atrial fibrillation currently on a diltiazem drip. The nurse should perform which of the following activities in this space? When the licensed person cannot determine this, the task should not be delegated. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Everything will be okay d. Providing information, a. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. (c) Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108\mathrm{Ba}^{2+}(a q)+\mathrm{CO}_3^{2-}(a q) \longrightarrow \mathrm{BaCO}_3(s) ; K=3.8 \times 10^8Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108 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. 3. a. Bathtub with rails Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. Which of the following statements should the nurse identify as an indication that the client understands the discharge information? What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? Which preoperative prescription should the nurse question? 4. a. Elicit info from the client Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. 2. 6. Which of the following statements should the nurse identify as an indication that the client needs further instruction? American Sickle Cell Anemia Association Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. b. I will begin once the client's discharge order is written Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education. 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. Measuring vital signs 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 says, "go away, no one can help me." Encourage the client to use self-exploration Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. a. Clarifying b. Assess the client 76. 1. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. Delegate 2 nurses to work with the client. Remind the client to tell the nurse when he has to urinate Everyone knows there are others who can chair this committee better than me The nurse cannot assign assessment and evaluation of the nursing process to the UAP. Lumbar puncture reporting a headache. 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. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a 3. Incorrect: A slightly decreased pedal pulse to the affected extremity is not unusual following cardiac catheterization. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. 4. What action should the nurse take after mistakenly administering the wrong medication? 4. The client asks the nurse, "Why do I need that? a. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. 4. b. Select all that apply 2. Which of the following statements by the student indicates understanding of the discussion? Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. A nurse is caring for an older client who is at risk for skin breakdown. 1) Bathe a client who had an amputation 2 days ago. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Review a low-sodium diet for a client with hypertension. d. Services are centered in long-term care facilities, a. 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. a. b. b. The nurse is using which of the following therapeutic communication techniques? 1. b. d. Two nurses using a friction-reducing device, d. Use attentive listening with the client (when establishing presence, eye contact, body language, voice tone, listening, and reflection convey openness and understanding), 39. The report should contain consequences. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. Remove all metal necklaces Currently, your census is 11, with one empty bed. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. Placing a washcloth in the bathroom sink prior to cleaning. Aplastic anemia is a rare but serious condition. 4. c. Can you tell me why you chose me? Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. d. The nurse has already considered alternatives to restraints, a. b. 2. d. Explain the procedure to the client if they do not understand, c. Lock the medication in a room and finish preparing it after returning from the emergency (securing them and returning later to finishing preparing and administering them decreases the risk of medication errors), 72. b. a. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. Offer to take one of the clients. Assist a client to ambulate using a gait belt Correct: The client has the right to be involved in the decision making of their care. 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. Removing the client's dentures What task would be best to assign to the LPN/LVN? Use the tablet's packaging to pick it up from the counter A client with an above the knee amputation reporting phantom pain. A nurse is preparing to obtain a blood specimen from a client by venipuncture. 2. The nurse should do this when repositioning is needed. Decide which choice fits best in the blank. 2. The RN with 5 years' experience in the Labor and Delivery unit. The nurse cannot allow the UAP to perform advanced tasks. b. Donation costs are the responsibility of the donor's family and estate 4. Tenderness over the symphysis pubis butter, which contain 16 g of protein, 7 g of carbohydrates, 3. This client is stable and predictable. (Select all that apply.) 4. Have a pen and paper handy Underline the adjective clause in each sentence. c. Washes and rinses her hands for 10 seconds d. Lean back in the chair, b. 3. Notify the charge nurse of the observations. 4. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. This would be out of the UAP's scope of practice. The cause of the fall may be cardiac, but the question does not indicate this. Which of the following physiological responses to prolonged immobility should the nurse expect? a. The nurse is using which level of communication at this time? 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. A nurse is admitting a client who has a partial hearing loss. c. Decreased sodium excretion Correct: The UAP can remind the client to do something that has already been taught by the nurse. A charge nurse is planning client activities for the day. Incorrect: The nurse is responsible for monitoring a client. This could indicate a worsening of this client's condition. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. A nurse is discussing the norming stage of the group development process with a student nurse. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? b. The healthcare team should recognize the client as the center of the team. 3. Assessing this client and titrating the diltiazem requires the skills of an RN. 1. The client is getting better. Provide positive feedback to the UAP. Which task should the nurse take responsibility for completing? The LPN/LVN can reinforce teaching. 208 Encourage client to express grief related to loss of independence. 3. b. Which client should be assigned to the most experienced nurse? Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. The nurse has another priority. 1. 4. Therefore, this client would not be a priority over a client who may be experiencing a MI. The nurse is caring for four clients. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". c. I will begin upon the client's admission to the facility c. Review the client's progress toward personal objectives b. A charge nurse is making assignments for an oncoming shift. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. 2. This situation is considered an external disaster which means the hospital will be expecting multiple victims. c. Offering false reassurance Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Temporary urinary retention Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? The infusion rate has stopped but the tubing is not kinked Which of the following of Erikson's developmental stages should the nurse consider in the planning? 5. Teaching insulin self administration to a diabetic client. Which group of clients should she assign to the medical surgical nurse? 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). 4. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. 1, 3 & 5. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. The client would develop severe cramping. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. 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. a. d. Mask, 83. What would the approximate meaning of photoelectric be, based on these root words? 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. 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. 1. c. Review a low-sodium diet for the client who has hypertension The nurse should initiate a referral with which of the following members of the interprofessional health care team? b. eminent A nurse is caring for an older adult client who has a fractured hip and will require rehab care. A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. What was the hint? d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. The nurse also needs to be aware of the color and amount of urine voided. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. Which actions should be instituted by each unit's charge nurse? 3. A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? Which of the following actions should the nurse take? There are a total of 10 adult clients. 3. B. c. Lock the medication in a room and finish preparing it after returning from the emergency There are a total of 10 adult clients. b. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. b. Grape juice Select all that apply. 3. 2. Which of the following client statements indicates an understanding of the procedure? Occupational therapist . A nurse is developing a plan of care for a client who practices Islam. Checking capillary refill beneath the client's fingernail Which of the following findings should the nurse identify as a safety risk? d. principal. 1. a. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 3. Write the letter of your choice on the answer line. d. Perception A two-hour limit on visits discourages quality time. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. a. b. Refuse the delegated intervention. 6. 4. d. I decline this opportunity at this time, b. 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. Complete blockage of the large intestine. A nurse is adhering to standard precautions while caring for a group of clients. Incorrect: A client diagnosed with Guillain-Barre' is mentally competent and being on a ventilator does not indicate that the client has lost decision-making capacity. 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. 1. 3. A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. c. I will place an area rug at the entry of my bathroom 4. Select all that apply a. I'll sit with my knees lower than my hips 1. a. Auscultating heart sounds a. 3. c. Paraphrasing a. The best practice committee works to improve clinical practice based on current research. Which of the following responses should the nurse make? A client with fibromyalgia reporting generalized pain of 7 out of 10. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. A charge nurse is making client care assignments. 4. 3. & 4. A list of current medications is sent to the facility. 2. and 16 g of fat. 1. The key word in the stem is first. Assign more daily tasks to the UAP. a. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. An adolescent client post appendectomy reporting pain. Charge nurses have integral roles in healthcare organizations. Did you recognize ureterolithiasis as "kidney stones"? 1. d. Remove and reinsert the NG tube, a. Schedule visiting times in two-hour increments so clients are not overwhelmed. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. a.) Limit the client's fluid intake in the evening b. leadership management of care nurse on unit is providing care for group of clients. Protective Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. A nurse is creating a discharge plan. Which of the following actions should the nurse take prior to administering the tube feeding? There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. 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. 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. Remind the client to avoid tight fitting clothes. c. Holds the soiled linen against her body while carrying it to the linen bag Include any relevant statements the client made about the ulcer, 64. This is a task that can be delegated to the LPN/LVN. e. Suctioning a client's new tracheostomy tube, 93. Channel Select all that apply. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. The facility has insurance that will cover malpractice litigation d. 216, 22. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. When staff do not feel vested in any new process, there is a sense of underappreciation. 2. Wrapping the dentures in tissue while the client sleeps Use adult diapers to prevent frequent clothing changes 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. the nurse responds, "don't worry, no one will harm your family." So what is wrong with option #1? Which of the following methods should the nurse plan to use? 5. 3. Incorrect: Atrial fibrillation places the client at risk for blood clots. b. Read all the current literature related to oral care on unresponsive clients. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. The charge nurse on the postpartum unit is making assignments. This protein is released by cells in the stomach. Provides safe, effective delivery of patient care in . Select all that apply. Discarding the first urine voided by the client starting a 24 hour urine test. b. 2. c. Explain the risks and benefits of the procedure Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). If the decimal point is missed in this situation, the client could receive 5 mg instead of the intended dose of 0.5 mg of risperidone. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? a. Assist a client to ambulate using a gait belt What options would be appropriate for the nurse to take? A nurse is preparing to move a client who is only partially able to assist up in a bed. The client receives home health care and spends most of his day in a reclining chair. There is a trailing zero after the prescribed dose. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. 3. The nurse considers various ideas submitted by team members. Which of the following interventions should the nurse include? 3. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. Suggest splitting the shift with another nurse. c. The client's culture A nurse receives a client care assignment from the charge nurse that he believes is unfair. TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . In which situation should the nurse consult the client's advanced directive? a. I will begin 48 hr before the client's discharge 3. c. I'll bear weight on my ankle for 10 minutes every hour Incorrect: The nurse cannot assign teaching to the UAP. Removing the abdominal dressing b. Wears a gown when entering the room of a client who requires contact precautions 5. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? Discuss the competency of the surgeon Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago.
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