Refuse the assignment, being prepared for disciplinary action. a. Clarifying A nurse is discussing the norming stage of the group development process with a student nurse. A nurse is engaging in relationship counseling with a male client. 1. a. a. It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility nurse in order to support continuity of care. In which situation should the nurse consult the client's advanced directive? The client states, "I am so nervous about what the doctor might find during the test." a. 1. The RN with 5 years' experience in the Labor and Delivery unit. Client reporting epigastric pain and nausea after eating. Which client can be assigned to the LPN? This is not a situation that requires the LPN to notify the primary healthcare provider. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. and 16 g of fat. Incorrect: Medications are not transferred with the client to a new facility. 2. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department The nurse voices his concern to the charge nurse. The client would develop severe cramping. An Advance Directive includes a Living Will and a Medical Power of Attorney. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. For which of the following actions should the nurse intervene? 3. The nurse is planning care for a client admitted with Alzheimer's Disease. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." Point out inconsistences in the client's behavior Hanging a new bag of total parenteral nutrition (TPN). d. Services are centered in long-term care facilities, a. Ask for any staff objections to rearranging work hours. Encourage client to express grief related to loss of independence. Speak to the UAP first and then decide if a between meal supplement is needed. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. d. Complete an incident report, 70. 4. A charge nurse is making assignments for an oncoming shift. }? benefactor of the world. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. 4. This client will also need a lot of education regarding anti-rejection medications. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. 6. a. Hypotension 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. b. Irrigate the wound with an antiseptic prior to obtaining the specimen c. Raised toilet seats Initiative vs guilt b. Negligence 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. c. Rephrase statements the client does not hear Gown Therefore, this client would not be a priority over a client who may be experiencing a MI. Client two days post percutaneous endoscopic gastrostomy (PEG) placement. A nurse is admitting a client who has a partial hearing loss. d. Do you think crying will help? d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. Everyone knows there are others who can chair this committee better than me 3. c. Explore the client's feelings about dietary modifications c. Open the right flap with the left hand A lack of rapid eye movement (REM) sleep The nurse on a large surgical unit needs to evaluate several clients returning from procedures. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. Education The report should contain consequences. 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. A. Obtain a bedside commode for the client's use - Assisting a client to ambulate using a gait belt. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. Tenderness over the symphysis pubis Feed the client after warming the food. Of my three brothers and sisters, my sister Giselle has the best sense of humor. The expected standard of care was strict bed rest), 96. Measuring vital signs Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. The facility has insurance that will cover malpractice litigation 1. d. 216, 22. 4. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to withdraw consent therefore the surgeon should be the one notified of the request), 14. a. I will keep spare crutch tips handy Which of the following findings indicates that the client is meeting this goal? Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient a 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. 5. A family member requests that the nurse apply restraints. a. 2. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. The nurse prefers to check all vital signs on all clients. 6. 4. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. Incorrect: The RN is responsible for assessment and evaluation. Which of the following findings should the nurse expect? b. 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 . Select all that apply a. The charge nurse is making client assignments for a neuro-medical floor. d. Mask, 83. But the client does need to be assessed prior to the client with Crohn's disease who is improving. This could indicate a worsening of this client's condition. Relief of urinary retention _____The house that we lived in for nine years has been sold. a charge nurse is making client care assignments for the day. This would be out of the UAP's scope of practice. On an ongoing basis, the charge nurse evaluates individual and collective outcomes of the patient care provided during their shift, compares patient care delivery to accepted standards, adjusts assignment of resources as necessary, and reports changing needs and outcomes to the health care staff. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? Measure urine output when client voids. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. A client with COPD complaining of shortness of breath on exertion. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Prepare a list of clients who could quickly be discharged or transferred. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. Drag and Drop the items from one box to the other. 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 assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? The LPN should refuse the intervention. a. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. Sudden attacks of sleep d. Social conversation, a. It also helps the client deal with issues that are important to him), 19. d. Go to employee health services, b. 3. Teach the UAP to change surgical dressings. Removing the abdominal dressing Document what the nurse believes was the cause of the ulcer development Serve milk products separately from meals A two-hour limit on visits discourages quality time. 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. The nurse should initiate a referral with which of the following members of the interprofessional health care team? Furosemide 40 mg PO q.d. c. Why are you crying? a.) b. 4. b. Massage any bony prominences to promote circulation A client receiving heparin injections for deep vein thrombosis. 2. Client with ureterolithiasis who requires frequent PRN pain medication. Encourage the client to be more cooperative. 4. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Use double bagging to remove soiled linen from the client's room Incorrect: The nurse is responsible for evaluating a client. c. Check to see if the suction equipment is working A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. 3. 1. 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. Incorrect: The client does need to have food; however, there is another action that should be performed first. Removing the client's dentures This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. which of the following actions should the nurse perform? a. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. 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. Include any relevant statements the client made about the ulcer b. Correct: The UAP can remind the client to do something that has already been taught by the nurse. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. b. I will bear the weight of my body on my hands Aplastic anemia is a rare but serious condition. e. Talking with the client's partner, 79. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. -Review a low-sodium diet for a client who has HTN Which clients should be assigned to the CNA? A nurse is filling out an incident report after finding a client lying on the floor. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. 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. d. Counting radial pulse, 100. b. Which client should the nurse see first? a. The nurse asks why the client needs to know this. d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago A client receiving a blood transfusion that requires monitoring. c. I should purchase a carbon monoxide detector for my home a. Select all that apply Discuss the issue with the leader of the "best practices" committee. Which of the following sites should the nurse plan to use to obtain the blood specimen? The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). The nurse is using which level of communication at this time? Which of the following actions should the nurse take? The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? c. When asking the client how he completes his ADLs 3. 2. b. Donation costs are the responsibility of the donor's family and estate b. Dons gloves to empty a urinary drainage device a. Correct: The client who has a cast and requires pain medication is a stable and predictable client. Incorrect: The nurse retains the responsibility for the delegated task. However, it remains true pain for this client and the client would need intervention to help manage this pain. 1. Temporary urinary retention a. 2. 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. 4. Which of the following statements should the nurse identify as an indication that the client requires further clarification? 3. The charge nurse on the postpartum unit is making assignments. d. Anger, b. What is the appropriate assignment? Autonomy vs shame and doubt 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. c. Review the client's progress toward personal objectives Which of the following actions is the nurse's priority? 4. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). 2. Which of the following nontherapeutic communication techniques is the nurse using? b. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. which client would be most appropriate to assign a licensed practical nurse (lpn)? Focusing Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. c. Leave a nightlight on in the client's room Aplastic Anemia Support Group. The RN with 10 years' experience pulled from the ER. Encourage the client to use self-exploration A nurse is developing a plan of care for a client who does not speak the same language as the nurse. c. Blood-tinged urine 2. c. Lock the medication in a room and finish preparing it after returning from the emergency It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. Where on the body is each type of skin found? A nurse is teaching a client who has a history of falls about home safety. The nurse is responsible for the assessment of all vital signs of post-op clients. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. with this question, the nurse is using which of the following communication techniques? Offer to take one of the clients. a. A nurse is adhering to standard precautions while caring for a group of clients. 3. 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. Decreased RBC production Select all that apply. Teaching insulin self administration to a diabetic client. 1. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. Ask the primary healthcare provider to suggest the best oral care procedure. a. b. a. The third client that should be sent back for treatment is the female client stating she has been raped. Collecting I & O totals for unit clients at the end of shift. a. a. Shakes the soiled linen to remove any toilet paper remnants Provide a between meal supplement to the client. 1, 3 & 5. 2. Incorrect: Informing is the same thing as teaching. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. Change the subject when the client behaves defiantly 1. 2. The nurse is focusing on which of the following elements of the communication process? Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. Which prescription should the nurse question and have corrected? 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." The nurse also needs to be aware of the color and amount of urine voided. Which of the following statements should the nurse identify as an indication that the client needs further teaching? The nurse should do this when repositioning is needed. The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. a. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Alcoholic Anonymous a. This determination is needed to assure client safety is being considered. 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: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. 1. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. 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. a. I'll provide more stimulation in his environment Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. A nurse is caring for a client who is postoperative following an appendectomy. Elevating the head of the bed 30- 40 for the client post thoracotomy The client asks about his medications and their effects. Correct: Communication is important in delegation, as is follow-up. The situation should be explored before bringing the supervisor in on the situation. Correct: An LPN should be assigned clients with predictable outcomes. The client post PEG placement is stable. c. Gender The nurse has just completed a 12 hour shift. d. Proceed with the preparation of the patient's surgical procedure, 15. b. Wash the tablet off with alcohol and place it in a clean medicine cup Incorrect: Is phantom pain something that is unexpected with above the knee amputations? The LPN/LVN can gather data, but the RN is responsible for validating and interpreting that data to assess and evaluate. Which of the following actions by the nurse is considered an indirect nursing care activity? 2. c. Do not eat or drink anything the morning of the test Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). The nurse has another priority. A charge nurse is making client care assignments. Incorrect: This response overlooks a potentially severe problem. Incorrect: No, the monitoring is too specific for the med-surg nurse. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. b. 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?

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