Which of the following communication techniques should the nurse use during this phase? 1 The area surrounding the insertion site feels warm to the touch, 61. A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Feedback Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. NUR 112 Practice Assessment Flashcards | Quizlet c. Washes and rinses her hands for 10 seconds (Select all that apply.) The area surrounding the insertion site feels warm to the touch The RN with 5 years' experience in the Labor and Delivery unit. 3. b. It's unfortunate that I have to be in the hospital for this treatment There will likely be both physical and emotional injury that needs attention, which places this client third. Have another nurse finish preparing the medications c. Review another client's similar surgical experience 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? Measuring vital signs The below statement corresponds to a numbered sentence in the passage. Select all that apply 1. Which of the following actions indicates that the AP understands the principles of infection control? 2. Which task should the nurse take responsibility for completing? 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. Solved 77. The nurse in a long-term care facility is making - Chegg 1. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. 4. 1. The nurse should do this when repositioning is needed. c. Decreased sodium excretion 77. 1. Remove all metal necklaces Remind the client to tell the nurse when he has to urinate 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. This service focuses on teaching the primary caregiver to meet the client's needs 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 . Phone report to the receiving nurse. Currently, your census is 11, with one empty bed. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. a. A nurse is caring for a client who is postoperative. a. The nurse would then start the 24 hour urine once the 1st void has been discarded. c. Providing anticipatory guidance to a client in crisis A nurse enters an older adult client's room to insert a saline lock. During exacerbation, the client will have many diarrhea stools. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? 3. 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. Which of the following findings should the nurse expect? Hold the penis at a 30 to 45 degree angle when inserting the catheter Speak to the UAP first and then decide if a between meal supplement is needed. d. Wait to discuss the behavior in the presence of others, a. 4. b. Dons gloves to empty a urinary drainage device Notify clients that the disaster plan has been put into effect. When determining if the client is eating a well-balanced diet Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. e. Feed a client who had a stroke 3 months ago, 32. 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. The client should be assessed first to rule out respiratory difficulty and hemorrhage. Measure urine output when client voids. Talk to each nurse about concerns related to assigned clients. b. The unit is short one staff member and will receive a nurse from the medical surgical unit. Which of the following is the priority action by the nurse? So, the UAP can assist a client to brush and floss teeth. Aplastic Anemia Support Group. a. and 16 g of fat. 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. Select all that apply Correct: An LPN/LVN's scope of practice includes tasks such as wound care. This client is not the nurse's first priority. Respite care provides holistic support and care for a client who is terminally ill a. I will keep spare crutch tips handy The client post PEG placement is stable. The client can indicate desire for Do Not Resuscitate (DNR). Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? c. Offer the client personal thoughts and beliefs e. an open perineal wound, 92. b. b. Allow the UAP to work without supervision. Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. 2. 2. Respite care allows the primary caregiver time away from day-to-day care responsibilities A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Use the tablet's packaging to pick it up from the counter The facility has insurance that will cover malpractice litigation a. Disconnect client's nasogastric (NG) tube suction to allow ambulation. Each state BON differs in that also some have treatment programs they administer themselves. Aplastic anemia is a rare but serious condition. So, now you must decide which of these high priority clients should be seen in what order. The nurse did not trust the new UAP. a. A practical guide to making patient assignments in acute care b. I will try to anticipate and avoid stressful situations when possible The women's health charge nurse is making assignments for the next shift. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? This includes medication enemas. A nurse is adhering to standard precautions while caring for a group of clients. 2. A nurse is admitting a client who has a partial hearing loss. They have found my address and are coming for my family!" This will take a lot of time, and the charge nurse can get the information needed from the nurses caring for the clients in order to make appropriate client assignments for the next shift. Client scheduled for a dressing change to foot ulcer. a. c. Lock the medication in a room and finish preparing it after returning from the emergency Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. a. I will begin 48 hr before the client's discharge 5. The nurse caring for the client at the time of death requests organ donation Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. a. c. Industry vs inferiority 208 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. A nurse is assessing a client who is experiencing prostatic hypertrophy. 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. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. d. Anger, b. 1. c. Take the client to the bathroom every 2 hr Incorrect: A slightly decreased pedal pulse to the affected extremity is not unusual following cardiac catheterization. The nurse cannot allow the UAP to perform advanced tasks. Irrigate a client's ear canal. Request a prescription for a medication to ease the client's anxiety Inform the client of the need to avoid irritants such as carbonated beverages. What should the nurse do first? 4. a. The nurse is responsible for the assessment of all vital signs of post-op clients. c. Leave a nightlight on in the client's room d. Counting radial pulse, 100. Gather supplies to prepare room for isolation. 4. This is on the "Do Not Use" list of abbreviations because the period after the "Q" can be mistaken for "I", which would be interpreted as qid (four times a day) instead of the intended once daily dosage. 7. c. I will inspect my crutches everyday for signs of wear Therefore, this would not be the most appropriate nurse to assign to this client. Ask the primary healthcare provider to suggest the best oral care procedure. b. Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. 4. 2. The nurse should call for immediate help so that a safe care environment is maintained for all clients. There are a total of 10 adult clients. 4. c. I'll clean the inside of the container with a wipe Which of the following responses should the nurse provide? Turn on local news for up-to-date information on the train derailment. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. A nurse just back from maternity leave. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Place in priority order. Taking the report from the ED could be delayed but is a courtesy to the ED and will provide information about the client that will be useful in making assignments for the next shift. Incorrect: Medications are not transferred with the client to a new facility. b. Verbalize understanding of how the client feels Showing disapproval The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. A nurse asks a client how he is feeling. c. Review a low-sodium diet for the client who has hypertension 6. 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. A client with exacerbation of COPD reporting dyspnea. (Select all that apply) 3. What is the best response by the charge nurse? Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. Announce the new changes at the monthly staff meeting. Which of the following statements should the nurse identify as an indication that the client needs further instruction? A client receiving heparin injections for deep vein thrombosis. The client states, "I am so nervous about what the doctor might find during the test." Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. 4. To which of the following rooms should the nurse assign the client? 3. c. Gender Initiative vs guilt Nurses Report Sheet Template Nicu. 4. Briefly assess every client. d. I will begin once the client's insurance company approves discharge coverage, b. Serve food that have a hot/cold balance d. Routine acquisition of a urine specimen Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. "Please explain what you mean by the word 'nervous'.". 1. A nurse is working with an assistive personnel (AP) to 1. a. Which of the following tasks should the nurse delegate to assistive personnel (AP)? A nurse is caring for a client who is postoperative following abdominal surgery. 1. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. A nurse is discussing the norming stage of the group development process with a student nurse. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. Furosemide 40 mg PO q.d. This client is at a high risk of infection. One nurse lifting as the client pushes with his feet Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. Client with ureterolithiasis who requires frequent PRN pain medication. A charge nurse is making client care assignments. 4. 3. 3. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. The RN with 2 weeks' experience on the postpartum unit. a. b. Electric cords behind the furnitrure 2. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. Prospectors are considering searching for gold on a plot of land that contains 1.31g1.31 \mathrm{~g}1.31g of gold per bucket of soil. We see that the temperature is already elevated, which makes us worry that infection is present. It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. An adolescent client post appendectomy reporting pain. a. 2. Which tasks should the charge nurse delegate to the nursing assistant? A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). 1. Monitor client for pain while assisting with ambulation. Client diagnosed with Guillain-Barre' who is receiving ventilator support. 3. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Simply accept the assignment since overtime is mandatory. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? 3. 2. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. The nurse has been assigned four clients. 2. This is an appropriate and safe action for the unlicensed nursing assistant to do. Elderly client admitted 30 minutes ago with reports of constipation for four days. 4. Evaluate pain relief after narcotic administration. A nurse who is on hormone replacement therapy. Describe the types of machining operations that can be performed on a lathe. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. 1. Include any relevant statements the client made about the ulcer The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. 4. It can result in muscle spasm and tissue damage. 1. a. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. Elderly client who fell and fractured the left femoral neck. Which client should be assigned to the most experienced nurse? Charge Nurse II- CNII - jobs.freseniusmedicalcare.com The nurse on a large surgical unit needs to evaluate several clients returning from procedures. This client can wait until the others are treated. 1. Making client care assignments As the RN charge | Chegg.com A nurse is preparing medication for a client when another client has an emergency. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. c. Document in the client's medical record that she completed an incident report Where on the body is each type of skin found? b. eminent Incorrect: The nurse is responsible for evaluating a client. (Select all that apply.). e. Feed a client who had a stroke 3 months ago, 31. 4. 2. c. Visual observation for nonverbal signs of pain In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. Provide positive feedback to the UAP. Refuse the assignment, being prepared for disciplinary action. 2. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. b. I will come back later and we can talk a. Remember, pick the killer answer first! The nurse should assess the client for which of the following expected outcomes after catheter removal? Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. Notify the board of nursing (BON) that the float nurse is an alcoholic. 55. An adult (18 years or older) can create an advanced directive. a. This stage is when testing occurs to identify boundaries of interpersonal behaviors Evaluate client's safety risk factors. c. Malpractice e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. d. I will place a bath seat in my shower to use when I bathe, b. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Which of the following instructions should the nurse include? e. Dysuria, 49. Incorrect: The RN is responsible for assessment and evaluation. Refuse the delegated intervention. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. 3. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. An experienced person who can research "best practice" regarding the issue is needed. a. d. Mask, 83. 4. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. A nurse who is 10 weeks pregnant. Notify the primary healthcare provider. A nurse instructs a female client about collecting a midstream urine sample. This service began with the client's admission to the hospital, 18. A family member requests that the nurse apply restraints. The client was lying on the floor next to his bed (nurse should document what they actually see), 68. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. 4., & 5. 4. A Charge Nurse Role: The Ultimate Guide. A nurse is performing care activities for a client in the zone of touch that requires his consent. a. Estimate the number of Calories in two tablespoons of peanut c. There is fluid leaking around the insertion site b. Summarization Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. 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. Warm the feeding solution to the body temperature This is the most stable of the four clients which places this client last to be seen. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Temporary urinary retention 4. Which of the following client statements indicates an understanding of the procedure? What actions should a nurse take to provide continuity of care when discharging a client diagnosed with hemiparesis to a long-term care facility for rehabilitation? 2. The expected standard of care was strict bed rest), 96. Lisinopril 20.0 mg PO daily 4. The charge nurse might not have realized all the responsibilities of taking this team of clients. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. Client two days post percutaneous endoscopic gastrostomy (PEG) placement. c. Consensus evolves in this stage A nurse is providing discharge teaching for a client who requires home oxygen therapy. Placing the traction weights on the bed to transfer the client to x-ray. c. Can you tell me why you chose me? Explain administration is demanding a decreased overtime. Which of the following infection-control precautions should the nurse use caring for this client? Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Complete blockage of the large intestine. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. The cleint's family asks the nurse for info about this type of care. 2. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. 3. Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). 2. A school-aged child with a fractured femur who is in balanced suspension traction. A client receiving a blood transfusion that requires monitoring. The RN with 8 years' experience in the Intensive Care Unit. Which of the following statements should the preceptor make? Reporting laboratory findings to a member of the client's family *HURST REVIEW Qbank/Customize Quiz - Leadership Delegate 2 nurses to work with the client. 4. Give magnesium citrate 296 mL at 3 PM today. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. 3. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. Which of the following sites should the nurse plan to use to obtain the blood specimen? There are a total of 10 adult clients. c. Palpating for pedal edema D. 5. Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. Incorrect: The client does need to have food; however, there is another action that should be performed first. Monitor for GI upset 30 minutes after meals. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. A client with fibromyalgia reporting generalized pain of 7 out of 10. d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. 4. _____The house that we lived in for nine years has been sold. b. I'll do exercises that strengthen my abdominal muscles d. Droplet, d. Bend at the knees when picking up an object, 98. d. I shouldn't advice you about what is ultimately a personal decision, b. Which of the following items should the nurse include on the lunch tray? 5. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. B. This is outside the scope of practice for the LPN/LVN. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. c. Irrigating a client's abdominal wound Gathering needed equipment and supplies is within the scope of duties for the UAP. a. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" Invite staff to contribute ideas on scheduling changes. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. Witness the client's signature Providing hygiene care to a client who is HIV positive PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. The client says, "go away, no one can help me." 3. d. Custard }? benefactor of the world. c. Discard the tablet and obtain another dose of medication b. c. I should purchase a carbon monoxide detector for my home 6. 1) Bathe a client who had an amputation 2 days ago. b. Negligence It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. M4 Client Care Assignment.pdf - Making Client Care The charge nurse knows what client would be most appropriate for this LPN? d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. -Review a low-sodium diet for a client who has HTN The nurse who made the medication error should take which of the following actions first?
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