We do not know the extent of her injuries based on what the option tells us. This action is a defensive intervention, and does not address the quarrelsome behavior. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. This is normal for clients with hemorrhoids. c. Visual observation for nonverbal signs of pain Which of the following actions is the nurse's priority? a. The nurse should not be assigned to provide care if impairment is suspected. Incorrect: The nurse is responsible for monitoring a client. Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case), 29. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. 1. (b) H3O+(aq)+OH(aq)2H2O(l);K=1.01014\mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{OH}^{-}(a q) \longrightarrow 2 \mathrm{H}_2 \mathrm{O}(l) ; K=1.0 \times 10^{14}H3O+(aq)+OH(aq)2H2O(l);K=1.01014 PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. b. 4. 1. C-section planning discharge, postpartum infection, mastectomy. e. Talking with the client's partner, 79. Rewrite each incorrect sentence to correct the error. What action should the nurse implement first to ensure client safety? A client with an above the knee amputation reporting phantom pain. A lack of rapid eye movement (REM) sleep This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. A nurse is caring for a client who is postoperative following an appendectomy. 1. (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? c. I will complete the smoking cessation program I started Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Select all that apply. b. 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. Incorrect: This prescription is written correctly. Of my three brothers and sisters, my sister Giselle has the best sense of humor. What proposal would the nurse determine to best meet the needs of families and clients in long term care? A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. }? benefactor of the world. Therefore, this client would not be a priority over a client who may be experiencing a MI. In what order should the nurse see the clients? Richied5864 Richied5864 . Removing the client's dentures Each ROM movement should be repeated 5 times during the session. Suggest splitting the shift with another nurse. The first vital sign check was performed by the nurse. Drag and Drop the items from one box to the other. c. I will cover the catheter so he cannot see it a. Hypotension Select all that apply Which of the following infection-control precautions should the nurse use caring for this client? 1. Furosemide 40 mg PO q.d. 2. 1. 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. c. There is fluid leaking around the insertion site Incorrect: The client does need to have food; however, there is another action that should be performed first. Obtain a bedside commode for the client's use Select all that apply. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. A client with atrial fibrillation currently on a diltiazem drip. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Determine caregiver's stress level and coping strategies. A nurse is caring for a client who states, "I have got to get out of this hospital! d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. The nurse is using which level of communication at this time? In what order should the emergency department triage nurse send these clients to a room for treatment? 4. Teaching insulin self administration cannot be delegated to the LPN. 2. d. Voided 30 mL frequently 1., 2., 4., & 5. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. This client should report an improved respiratory, not shortness of breath. The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data. Initiative vs guilt Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Send a day's worth of medications with the client to the receiving facility. Initiate oxygen and IV lines as needed. d. The nurse has already considered alternatives to restraints, a. A nurse is caring for a client within the intimate zone of the client's personal space. So, now you must decide which of these high priority clients should be seen in what order. 3. 1. 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 . When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? Plan all care to be completed in early morning to allow afternoon for visitation. Relief of urinary retention d. Custard 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. Asking for an explanation Place the client in low Fowler's position the nurse responds, "don't worry, no one will harm your family." For Option #3, you may have recognized MgSO4 as being magnesium sulfate. A client diagnosed with rheumatoid arthritis needing discharge teaching. Explain administration is demanding a decreased overtime. A medical-surgical LPN has been sent to a short-staffed pediatric unit. It involves people who are constantly changing-their conditions improve and deteriorate, they're admitted and discharged, and their nursing needs can change in an instant. 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. The surgeon initially prescribes a clear liquid diet. Call the client's provider 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. 3. Incorrect: This again is assessment which is the role of the RN only. Speak to the UAP first and then decide if a between meal supplement is needed. _____The house that we lived in for nine years has been sold. 3. a. Elicit info from the client Remove all metal necklaces A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. Observe the client before taking further actions Incorrect: The RN is responsible for collecting data. Draining the colostomy bag on a client with diarrhea. Which of the following actions should the nurse take? d. Wait to discuss the behavior in the presence of others, a. It would not be appropriate to overload this new employee with extra work. 1. 4. c. Lock the medication in a room and finish preparing it after returning from the emergency They are more direct when discussing issues Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. c. Changing a dressing, 78. The nurse does not know the skills of the new UAP. Serve milk products separately from meals These are appropriate tasks for an UAP to complete. This is likely cholelithiasis, which will need to be checked out. 3. 4. 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. b. Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? 10. If you give the magnesium citrate, which is a laxative, what will happen? The primary healthcare provider may have suggestions but this is not the best first action. The client is reporting anxiety, discomfort, and a feeling of bloating. Everything will be okay Accept the client's behavior as confrontational. c. Take the client to the bathroom every 2 hr A nurse is engaging in relationship counseling with a male client. 4. The client states, "I am so nervous about what the doctor might find during the test." Place the pack on a sterile work surface Prior to shift report, the charge nurse is making assignments for the nurses on the shift. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. There are a total of 10 adult clients. a. Nurses Report Sheet Template Nicu. The nurse is reviewing some clients' prescriptions. He charge nurse is making client care assignments for the evening shift. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. A float nurse arrives on the unit to assist in the care of clients for the shift. 3. Semi-formed stools are great news! Well, do you see the q.d.? There will likely be both physical and emotional injury that needs attention, which places this client third. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. An experienced nurse would be assigned to this unstable client due to the possibility of a reoccurring hemorrhagic stroke resulting from the client's hypertension. The nurse is using which of the following therapeutic communication techniques? Incorrect: Atrial fibrillation places the client at risk for blood clots. 3. Incorrect: This group of clients needs specific teaching. 1. Discarding the first urine voided by the client starting a 24 hour urine test. Risperidone .5 mg PO daily c. Changing a dressing This stage is when testing occurs to identify boundaries of interpersonal behaviors The nurse asks why the client needs to know this. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) It's just not the right time for me to do this c. Do not eat or drink anything the morning of the test A nurse just back from maternity leave. In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. The nurse on a large surgical unit needs to evaluate several clients returning from procedures. Alcoholic Anonymous An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. Stand directly in front of the client A nurse who is 10 weeks pregnant. Describe the types of machining operations that can be performed on a lathe. Simply accept the assignment since overtime is mandatory. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. Charge nurses have integral roles in healthcare organizations. 1. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. Which client should the nurse assess first? 4. A charge nurse is observing a group of newly licensed nurses. 1. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). b. A nurse is caring for a client who has limited hand movement. The charge nurse is making client assignments for a neuro-medical floor. 1. Which of the following statements should the nurse identify as an indication that the client understands the instructions? 3. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. What would the approximate meaning of photoelectric be, based on these root words? Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. A nurse is caring for a client who expresses anxiety about his impending surgery. 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. Gathering needed equipment and supplies is within the scope of duties for the UAP. The nurse has another priority. a. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. A nurse who is breastfeeding her 4 month old. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. 4. A nurse is caring for a client who has emphysema and has difficulty with mobility. 1. Transfer essential medical record to the receiving facility. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. Remember, pick the killer answer first! Ask the client to perform a return demonstration of insulin injection 2. The below statement corresponds to a numbered sentence in the passage. B. If the client is unstable, the nurse would retain the role of measuring the vital signs. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Select all that apply A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. d. Breathing in carbon monoxide can cause headaches and nausea, c. Take the client to the bathroom every 2 hr (this establishes a regular pattern of toileting and the client learns to trust that the staff will place value on his bladder-training needs), 59. The charge nurse is planning the staff assignments for the clients on a neurological unit. Donning gloves and using a gauze pad to grasp and remove dentures 2. 1. one of the licensed practical nurses Get the answers you need, now! 4. a. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. Changing a colostomy bag. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. Which of the following sites should the nurse plan to use to obtain the blood specimen? Which of the following types of communication breakdown does this response represent? Which of the following responses should the nurse make? For which of the following tasks should the nurse wear protective eye equipment. 1. This can prevent harm to client's. Dexlansoprazole 30 mg PO daily. 3. The situation should be explored before bringing the supervisor in on the situation. Assign more daily tasks to the UAP. In option #4, we see that the leading zero is missing from the prescription. a. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. They are likely to wait for others to initiate conversation d. I decline this opportunity at this time, b. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. a. Shakes the soiled linen to remove any toilet paper remnants 3. Which of the following info should the nurse include? Incorrect. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. 2. Gown Most of the following sentences contain errors in the use of modifiers and comparisons. d. When asking if the client took his medications this morning, 82. b. 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 Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Refuse the overtime assignment, being prepared for disciplinary action. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. Client scheduled for breast reconstruction after mastectomy. 1., 4., & 5. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. The nurse is focusing on which of the following elements of the communication process? This task cannot be delegated to the LPN/LVN. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. A family member requests that the nurse apply restraints. Sudden attacks of sleep Client with chronic emphysema experiencing mild shortness of breath. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? The client states, "I'm feeling a bit nervous today." Lumbar puncture reporting a headache. Nursing questions and answers. This client is eating a simple carb snack, but the nurse needs to check the client's blood glucose level to see if the snack has helped. Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. The client then states, "I have changed my mind and do not want to have the procedure done." e. The urge to move the legs when trying to sleep, 66. The nurse suggest that the family might need to respite care services. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. During exacerbation, the client will have many diarrhea stools. 3. Administering IV pain medication to a two day post op client. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. d. I will begin once the client's insurance company approves discharge coverage, b. The facility has insurance that will cover malpractice litigation Client reporting a headache and has a fruity breath. A nurse is providing discharge teaching for a client who requires home oxygen therapy. Assist a client to ambulate using a gait belt Select all that apply. 5. b. Donation costs are the responsibility of the donor's family and estate 2. Administer tap water enemas until clear at 6 AM. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. d. Anger, b. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. 3. EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. It is quicker to administer medications intravenously in the hospital We see that the temperature is already elevated, which makes us worry that infection is present. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. 3. Incorrect: The concern here is the client being fed their meal. b. 2. Incorrect: The purpose of a cystogram is to examine the inside of the bladder to confirm the presence or absence of abnormalities, or even obtain a biopsy. a. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. c. Discard the tablet and obtain another dose of medication The client attempted to climb over the side rails and fell Notify clients that the disaster plan has been put into effect. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. b. Measure urine output when client voids. d. Perception Aplastic Anemia Support Group. Incorrect: The wash cloth is placed in the sink to prevent the dentures from breaking if they are dropped. c. Document in the client's medical record that she completed an incident report Which task is appropriate for the nurse to delegate to the experienced nursing assistant? c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Convenience for the nursing staff or the client's family Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Explain to the RN that all the nurses have the same number of clients. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. A client with epilepsy reporting an odd smell in the room. Evaluate client's safety risk factors. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Prior to turning feeding back on, tube placement needs to be verified. A charge nurse is making client care assignments. Which of the following nontherapeutic communication techniques is the nurse using? 2. 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. a. The client's self-report of pain severity The nurse received a client following surgery 8 hours ago. 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. 1. 1., 2., 3., & 4. Protective Correct. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? Encourage clients and families to develop mutually appropriate visitation times. 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. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. Providing hygiene care to a client who is HIV positive a. Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. 2. which client would be an appropriate care assignment for this lpn?

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