a charge nurse is making client care assignments
c. Nonfat milk Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. Speak using his usual tone of voice Which tasks should the charge nurse complete at the end of the shift before leaving for the day? 2. Channel (Select all that apply) a. Report of feeling pressure Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. Decreased RBC production This client is stable and predictable. 6. c. I'll need to shave the hair off the skin where I place the electrodes Incorrect: This is not completely practical for everyone. 4., & 5. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. Solved 4. A charge nurse is making client care assignments. | Chegg.com 1. 4. A nurse is admitting a client who has a partial hearing loss. A client on a surgical unit frequently quarrels with the staff. 3. This is outside the scope of practice for the LPN/LVN. c. Tie linen bags securely at the top Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. Which of the following tasks should the nurse delegate to assistive personnel (AP)? The RN with 10 years' experience pulled from the ER. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. What client should the nurse assess first? Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list., 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). 2. A client has been admitted with folic acid deficiency anemia. 2. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. 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. a. d. I have a set of my brothers' crutches in the basement I can also use, a. b. Assess the client 4. Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. A nurse is caring for a client in the orientation phase of the nurse-client relationship. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. Announce the new changes at the monthly staff meeting. Write N next to the nonessential clauses and E next to the essential clauses. 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. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." Which of the following statements should the preceptor make? Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. The LPN/LVN can reinforce teaching. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. A client diagnosed with rheumatoid arthritis needing discharge teaching. c. Depression d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. 3. which of the following actions should the nurse perform? d. Custard Which of the following actions should the nurse include in the plan? d. Assault, b. 4. Injuries from a motor-vehicle accident can be life threatening. 1. a. 2. The word or phrase that you choose must express roughly the same meaning as the italicized word in the passage. 1. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. 4. a. d. Perception The client receives home health care and spends most of his day in a reclining chair. 4. 1. The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? What should the nurse do first? A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. 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. The below statement corresponds to a numbered sentence in the passage. A client receives a wrong medication. Aplastic anemia is a rare but serious condition. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. 2. 1. Alert all off-duty personnel to stand by in case of call- in. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 4. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Pernicious Anemia Society Determine caregiver's stress level and coping strategies. 1. They are more direct when discussing issues However, providing care for missing teeth would also be within the LPN scope of practice. This individual should be provided appropriate comments of appreciation for this accomplishment. 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. The nurse does not know the skills of the new UAP. 1. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. 2. Following a large hurricane, multiple clients arrive at the emergency room for treatment. Currently, your census is 11, with one empty bed. b. Administering 3 g/hr IV of morphine would be extremely dangerous. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. The charge nurse might not have realized all the responsibilities of taking this team of clients. Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. M4 Client Care Assignment.pdf - Making Client Care Confrontation should occur in the presence of a charge nurse or supervisor. A home health nurse is conducting a home safety assessment for an older adult client. Respite care provides holistic support and care for a client who is terminally ill Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. Correct: Hot water may damage dentures so intervention is needed. d. Remove tea and coffee from meal trays, b. 3. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. A nurse is caring for a client who is about to have a colonoscopy. The provider must renew a restraint prescription every 8 hr. Incorrect: The client does need to have food; however, there is another action that should be performed first. c. Notify the nurse manager The client says, "go away, no one can help me." Focus on the client's present circumstances instead of his personal stories The nurse should not assume that the UAP just did not do their job, but needs to ascertain the reason for not feeding the client. A nurse is admitting a client from a long-term care facility. 2. Allow families unlimited visitation around the clock to meet their schedules. Underline the adjective clause in each sentence. 1. 1. The RN will also need to be in communication with the assisted living facility to ensure that they have are a support system for the patient and her follow up care with her pacer. Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. d. Counting radial pulse, 100. When handling any disaster, a facility must have a "command center" that is operated by outside personnel such as a Fire chief, Police, Swat or other outside emergency persons. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. 3. 5. Both of these clients are terminal. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. a. Also, making a surgical bed for the client returning from surgery is a basic procedure. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. 4. c. The client's culture Select all that apply For which of the following tasks should the nurse wear protective eye equipment. Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu b. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". An LPN/VN has been floated to the emergency room following a chemical plant explosion. Which of the following indications should the nurse include? This is likely cholelithiasis, which will need to be checked out. a charge nurse is making client care assignments for the day. which Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? A nurse is performing care activities for a client in the zone of touch that requires his consent. Everything will be okay Which of the following findings indicates that the client is meeting this goal? When staff do not feel vested in any new process, there is a sense of underappreciation. It can result in muscle spasm and tissue damage. 5. A nurse is teaching a client who has a history of falls about home safety. b. Assigning tasks to an AP This client needs ongoing monitoring which is within the scope of practice for the LPN. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. 2. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. Review the action of insulin therapy 3. This is not a situation that requires the LPN to notify the primary healthcare provider. 5. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. Which of the following statements by the student indicates understanding of the discussion? Place the pack on a sterile work surface The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. Splitting the overtime shift is an acceptable option that the nurse could suggest in order to solve the staffing problem and decrease the amount of time the nurse will be working. Initiate oxygen and IV lines as needed. Charge nurses have integral roles in healthcare organizations. 1. d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? 1., 3, & 4. These are appropriate tasks for an UAP to complete. d. Water heater temp 54.4 C (130 F) b. I will call the doctor and get the prescription Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Triage and assign color-coded tags to each client. After making initial assessment rounds on assigned clients in the morning, the RN tells the charge nurse that the clients are too difficult. b. Give magnesium citrate 296 mL at 3 PM today. Which of the following actions should the nurse take? a. b. A nurse is caring for a client who expresses anxiety about his impending surgery. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. The nurse considers various ideas submitted by team members. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? A nurse wants to find out a better way to perform oral care on unresponsive clients. c. Complete an incident report The surgeon initially prescribes a clear liquid diet. A client with epilepsy reporting an odd smell in the room. Which action should the nurse interrupt the UAP from performing? 4. The nurse has just completed a 12 hour shift. a. Nothing will get passed the complete blockage. 3. Feedback Ask for any staff objections to rearranging work hours. a. I wish I didn't have to attach the electrodes to my skin b. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. Removing the abdominal dressing Which of the following info should the nurse include? Assign more daily tasks to the UAP. 8 Steps for Making Effective Nurse-Patient Assignments Correct. a. A client post pacemaker insertion, awaiting discharge instructions. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Monitor client for pain while assisting with ambulation. The cleint's family asks the nurse for info about this type of care. 1. This is an appropriate and safe action for the unlicensed nursing assistant to do. assignmentcafe.com - A charge nurse is making assignments for nursing The client would develop severe cramping. e. Throw rugs, 40. Empty the drainage bag at least every 8 hrb.) 3. Provide an adaptive feeding device for the client Which of the following physiological responses to prolonged immobility should the nurse expect? Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. Who should the nurse see first? Which actions should be instituted by each unit's charge nurse? d. Move to the opposite side of the pack and open the fourth flap, 54. Ask the charge nurse to evaluate the intervention. 2., 3. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A list of current medications is sent to the facility. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. Since the enema would clean below the obstruction, the client would be able to expel the enema and any feces in this part of the colon. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Select all that apply 4. 5. Which task should the nurse take responsibility for completing? 2. c. Washes and rinses her hands for 10 seconds 9. A nurse caring for a client is using active listening skills. The nurse is planning care for a client admitted with Alzheimer's Disease. Measure urine output when client voids. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. Invite staff to contribute ideas on scheduling changes. Determining the client's length of stay What is the best response by the charge nurse? Select all that apply c. Decreased sodium excretion 6. Which of the following client statements indicates an understanding of the procedure? Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. 1. Nurses Report Sheet Template Nicu. b. Once the client is stable, the UAP could perform this task. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. Witness the client's signature Convenience for the nursing staff or the client's family a. Administer sodium polystyrene sulfonate enema. Which of the following actions should this nurse take? All these clients have a GI problem. Solved 77. The nurse in a long-term care facility is making - Chegg The charge nurse's best response is to first obtain the needed information to make the best decision. Twist at the waist when she moves an object to one side b. I will try to anticipate and avoid stressful situations when possible 4. 3. Richied5864 Richied5864 . d. Sleep apnea Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. PDF 8 steps for making effective nurse-patient assignments Have a pen and paper handy 2. 1., 2., 4., & 5. 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. Which of the following actions should the nurse take regarding informed consent? If you give the magnesium citrate, which is a laxative, what will happen? c. Inform the surgical team to cancel the client's surgery a. 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. Which of the following should the nurse include as a criterion for applying restraints? d. I decline this opportunity at this time, b. a. This is an elderly client who is a new admit. b. 5. a.) Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. b. Select all that apply Irrigate a client's ear canal. Incorrect: The nurse is responsible for monitoring a client. A family member requests that the nurse apply restraints. a. There are a total of 10 adult clients. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. d. Bend at the knees when picking up an object, 99. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). The infusion rate has stopped but the tubing is not kinked 3. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. b. d. I hope I don't have to take as many pain pills, d. Left forearm (allows for easy access and doesn't interfere with the IV catheter), 46. Which of the following activities should the nurse perform in this zone? Prior to shift report, the charge nurse is making assignments for the nurses on the shift. 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. Vital sign measurement This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. a. Elicit info from the client Documentation is a communication tool for the interprofessional health care team. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. Only a plain enema or soap enema can be given by the UAP. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. The client post PEG placement is stable. 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. Encourage the client to use self-exploration 76. Serve food that have a hot/cold balance UAPs can assist with elimination and are taught how to measure output. c. Request a tray without pork (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. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. Everyone knows there are others who can chair this committee better than me d. Ambulating the client in the hallway, c. Explore the client's feelings about dietary modifications (this teaching intervention allows the client to express his acceptance of this change and focuses on affective learning), 80. 3. But the client does need to be assessed prior to the client with Crohn's disease who is improving. 1. (Select all that apply.) 6. 2. 4. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? 3. c. Foot a. c. I will begin upon the client's admission to the facility Oral surgeon Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. The nurse did not trust the new UAP. 3. Remove all metal necklaces A client who is disoriented and awaiting transfer to a long-term care facility. 3. 10. 4. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. d. Highly concentrated urine, 91. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. The abdominal pain is worsening. Correct: The UAP can remind the client to do something that has already been taught by the nurse. 4. Select all that apply. The LPN/LVN can gather data, but the RN is responsible for validating and interpreting that data to assess and evaluate. The area surrounding the insertion site feels warm to the touch, 61. December 5, 2020. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. c. Gender Select all that apply. 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? Perform range of motion (ROM) exercises at least 2-3 times daily d. Establishing the client's secondary medical diagnoses, b. 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. 2. Donning gloves and using a gauze pad to grasp and remove dentures Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. a. b. Focusing Charge Nurse II- CNII - jobs.freseniusmedicalcare.com The LPN can monitor the wound and provide care to the PEG insertion site. Gown Incorrect: What seems to be going on with this client? b. I will begin once the client's discharge order is written Hearing loss A. Which tasks should the charge nurse delegate to the nursing assistant? The client with cystitis is stable and has a predictable outcome. American Sickle Cell Anemia Association Monitor for behavioral changes. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. b. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. _________________ (magnanimous), a. generous The nurse should not lecture, scold or argue with the float nurse. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500
