a charge nurse is making client care assignments

Gather and apply dressings to open wounds. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. 4. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. 3. 5. A client with an above the knee amputation reporting phantom pain. c. Confrontation A client diagnosed with rheumatoid arthritis needing discharge teaching. d. I decline this opportunity at this time, b. 4. A nurse has just finished a wound irrigation for a client who requires contact precautions. Prior to turning feeding back on, tube placement needs to be verified. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Write N next to the nonessential clauses and E next to the essential clauses. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. A client who is disoriented and awaiting transfer to a long-term care facility. A nurse enters an older adult client's room to insert a saline lock. One nurse lifting as the client pushes with his feet Place the client in low Fowler's position A nurse is caring for a client who frequently attempts to remove his IV catheter. Following a large hurricane, multiple clients arrive at the emergency room for treatment. Return any fresh linen not used for a client to the linen supply area This is likely cholelithiasis, which will need to be checked out. Even though the client is a child, superficial burns require only dry sterile dressings and possibly oral pain medication, both tasks which are within the scope of practice for an LPN. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. d. Identifying the client by name when making a referral for home health services, 30. d. Explain oral hygiene to a client receiving chemo b. Invite staff to contribute ideas on scheduling changes. a. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. 1. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. 3. The nurse should not lecture, scold or argue with the float nurse. c. 214 e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. d. Bend at the knees when picking up an object, 99. Suggest splitting the shift with another nurse. What is the appropriate assignment? A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Dr. Frankenstein had seen himself as a(n) ?\underline{? 1. This would be an acceptable task to assign to the UAP. Document current functional status assessment Which of the following tasks should the charge nurse reassign to a licensed nurse? 3. Following the teaching, the nurse asks the client to describe one physical effect. 5. Review a low-sodium diet for a client who has hypertension. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". d. Expect minor discomfort after the procedure, b. I will come back later and we can talk (offers herself to client which encourages open communication). They are likely to wait for others to initiate conversation 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. INCORRECT 3) Review a low-sodium diet for a client who has hypertension. Understanding the charge nurse's role in staffing The provider must renew a restraint prescription every 8 hr. 4. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. d. Put the side rails up and tell the client to call the nurse before voiding, d. Two nurses using a friction-reducing device (reduces the risk of injury to the nurses and to the client; nurses can use a draw sheet as a friction-reducing device), 38. 4. There are a total of 10 adult clients. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. Temporary urinary retention (common for clients to develop after removal), 90. Which of the following tasks should the nurse delegate to AP? 1. Correct: The UAP can remind the client to do something that has already been taught by the nurse. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. d. Counting radial pulse Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). d. 216, 22. The client must understand the need for restraints As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. If you give the magnesium citrate, which is a laxative, what will happen? Comatose client with end stage chronic obstructive pulmonary disease. 2. NURSING ASSIGNMENT- delegation in the workplace | Studymonk This service began with the client's admission to the hospital, 18. 1. Assessing this client and titrating the diltiazem requires the skills of an RN. The charge nurse knows what client would be most appropriate for this LPN? 2. A client with atrial fibrillation currently on a diltiazem drip. c. Palpating for pedal edema c. Explain the risks and benefits of the procedure 1. Refuse the delegated intervention. A nurse is orienting a new assistive personal (AP) to the unit. Autonomy vs shame and doubt 5. 3. 1. A family member requests that the nurse apply restraints. So, now you must decide which of these high priority clients should be seen in what order. Tenderness over the symphysis pubis a. The nurse should not be assigned to provide care if impairment is suspected. c. Can you tell me why you chose me? Administer sodium polystyrene sulfonate enema. Which group of clients should she assign to the medical surgical nurse? Hanging a new bag of total parenteral nutrition (TPN). & 5. 4. 2. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. 4. Drag and Drop the items from one box to the other. What proposal would the nurse determine to best meet the needs of families and clients in long term care? d. Do you think crying will help? A nurse is implementing direct nursing care for a group of clients in an acute care facility. d. Voided 30 mL frequently, 48. 212 d. Request a prescription for an indwelling urinary catheter, c. I will begin upon the client's admission to the facility (effective discharge planning must begin upon admission of the client to the facility), 60. b. Providing hygiene care to a client who is HIV positive Which of the following actions should the nurse take regarding informed consent? Twist at the waist when she moves an object to one side b. I'll use the cleansing wipes from the front to back which client would be most appropriate to assign a licensed practical nurse (lpn)? A nurse is assessing a client who has narcolepsy. 1., 3, & 4. a. I'll provide more stimulation in his environment Correct: An LPN should be assigned clients with predictable outcomes. Triage and assign color-coded tags to each client. 4. Select all that apply. Protective e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. The Role of the Registered Nurse as Charge Nurse 2. b. Urinary frequency for several days b. Both of these clients are terminal. 2. However, it remains true pain for this client and the client would need intervention to help manage this pain. In option #4, we see that the leading zero is missing from the prescription. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. 1. 3. Assist a client to ambulate using a gait belt 5. A client requesting assistance packing his belongings for discharge later today.. b. c. Holds the soiled linen against her body while carrying it to the linen bag The client attempted to climb over the side rails and fell The nurse received a client following surgery 8 hours ago. a. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. A nurse is providing care to a client who is on strict bed rest following surgery. 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. d. Transporting a cerebrospinal fluid specimen to the lab 1. e. Throw rugs, 40. 1. Which of the following statements should the nurse identify as an indication that the client requires further clarification? Limit the client's fluid intake in the evening A nurse is developing a plan of care for a client who practices Islam. 3. Remind the client to avoid tight fitting clothes. The reason for the UAP not feeding the client needs to be determined. Did you think dehydration and fluid volume deficit? Soaking the dentures in hot water "The client is weak on the right side, so please assist the client with dressing . Besides yourself, there are the following staff: Your unit has 12 beds. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. c. There is fluid leaking around the insertion site b. Wash the area of the puncture thoroughly with soap and water 1. 4. Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. c. Include intact skin at the wound edges in the culture 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. b. Correct: Hot water may damage dentures so intervention is needed. This is not a situation that requires the LPN to notify the primary healthcare provider. The client post PEG placement is stable. 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. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. Performing passive range of motion (ROM) on the client with right sided paralysis. & 4. A post-cardiac catheterization needing assistance with bedpan. The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. Feedback Monitor for GI upset 30 minutes after meals. 3. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? b. a. A charge nurse is observing a group of newly licensed nurses. d. Water heater temp 54.4 C (130 F) d. Motor impairment, 84. Which of the following findings indicates that the client is meeting this goal? There is a trailing zero after the prescribed dose. Sit side-by-side with the client c. Respite care helps relieve pain and promote comfort Nothing will get passed the complete blockage. c. Visual observation for nonverbal signs of pain The charge nurse's best response is to first obtain the needed information to make the best decision. A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. Correct: The medical nurse can be assigned to this client. 1. c. Do not eat or drink anything the morning of the test a. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. 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. They are more direct when discussing issues 3. 2. A client with a fractured right humerus who reports the cast is too tight. d. Proceed with the preparation of the patient's surgical procedure, 15. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. The client is reporting anxiety, discomfort, and a feeling of bloating. UAPs can assist with elimination and are taught how to measure output. 3. }? benefactor of the world. Encourage the client to use self-exploration Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. The assignment process requires constant evaluation and reevaluation of information and priorities. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. a. Reposition the client every 3 hr d. Mask, 83. Notify the board of nursing (BON) that the float nurse is an alcoholic. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. A nurse is teaching a client who has a history of falls about home safety. the nurse responds, "don't worry, no one will harm your family." Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. 1. 3. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. The nurse could definitely be part of the committee. 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. Based on these findings, to which of the following providers should the nurse request a referral for the client? Explain administration is demanding a decreased overtime. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Sudden attacks of sleep a. Notify the primary healthcare provider of transfer completion. 1. Which task would be appropriate for the nurse to assign to an LPN/VN? b. Everything will be okay A nurse is having difficulty caring for a client due to variables affecting the communication process. Flashcards - chapter 7 - FreezingBlue Battery Assist a client to ambulate using a gait belt. b. Verbalize understanding of how the client feels A nurse is planning care for a female client who has an indwelling urinary catheter. Client eating a simple-carb snack due to weakness. a. b. c. Contact A new UAP is efficiently completing all daily assignments accurately and in a timely manner. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. Explain to the RN that all the nurses have the same number of clients. a. Did you recognize ureterolithiasis as "kidney stones"? This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. c. I will place an area rug at the entry of my bathroom 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! Client with chronic emphysema experiencing mild shortness of breath. Observe the client before taking further actions Plan all care to be completed in early morning to allow afternoon for visitation. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. The charge nurse on each unit needs to prepare a list of possible discharges or transfers to be given to the appropriate primary healthcare providers for further action. A nurse is assessing a client who is experiencing prostatic hypertrophy. 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. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. 9. 2. b. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. An Advance Directive includes a Living Will and a Medical Power of Attorney. c. Raised toilet seats 2. The nurse does not know the skills of the new UAP. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter a. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day c. To determine the client's electrolyte balance Dexlansoprazole 30 mg PO daily. Teaching is not in the role of the LPN and therefore, this client would need to be assigned to the RN, not the LPN, for the teaching needs of the client. 5. ATI Leadership and Management Questions - Leadership Management of Care 5. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. B. Client reporting a headache and has a fruity breath. The charge nurse is developing patient care assignments for the evening shift and needs to assign clients to a licensed practical nurse/licensed vocational nurse (LPN/LVN) and a certified nursing assistant (CNA). ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. d. Discussing intake and output b. b. a. a. A nurse is discussing the norming stage of the group development process with a student nurse. A client has been admitted with folic acid deficiency anemia. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Something new could have occurred with the clients, making the assignments too heavy. This client could be transferred with traction still maintained. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Place in priority order. Transfer essential medical record to the receiving facility. b. Nothing life threatening. Show client who has conjunctivitis how to clean the eyes. 3. A. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. 2. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. The third client would be the one needing a dressing change. 4. 2. b. I will try to anticipate and avoid stressful situations when possible Incorrect: The RN is responsible for teaching. Explain oral hygiene to a client receiving chemotherapy b. Elderly client admitted 30 minutes ago with reports of constipation for four days. Incorrect: This client does not have a predictable outcome. c. Consensus evolves in this stage When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. c. Distended bladder Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen This could cause a medical emergency. What task would be best to assign to the LPN/LVN? Placing the traction weights on the bed to transfer the client to x-ray. Which action should the nurse interrupt the UAP from performing? c. The nurse may serve as a witness to informed consent for organ donation Placing a washcloth in the bathroom sink prior to cleaning. d. I shouldn't advice you about what is ultimately a personal decision, b. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. Now, in Option #2, we see a dangerous prescription. Alcoholic Anonymous When a family member asks how respite care can help, which of the following responses should the nurse provide? A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. Focusing Which of the following actions should the nurse take? a. d. What have you done in the past to cope with this issue? A cardiac step down unit has requested float staff because of multiple impending admissions. 1. The report should contain consequences. 4. b. I can detect the presence of carbon monoxide by a metallic odor Serve food that have a hot/cold balance Nurses dependent on drugs or alcohol can harm clients. 3. A skill for which the ap has received instruction the - Course Hero 4. 2. The client's self-report of pain severity A school-aged child with a fractured femur who is in balanced suspension traction. This client will also need a lot of education regarding anti-rejection medications. 1. 4. Only the state Board of Nursing can legally determine the LPN's scope of practice. b. The nurse suggest that the family might need to respite care services. Risperidone .5 mg PO daily b. A nurse is preparing to obtain a blood specimen from a client by venipuncture. Which nursing intervention should the charge nurse implement? 2. 1. Nurses Report Sheet Template Nicu. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. 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. 4. 2. Besides yourself, there are the following staff: Your unit has 12 beds. There are a total of 10 adult clients. *HURST REVIEW Qbank/Customize Quiz - Leadership 1. It's just not the right time for me to do this Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. a. I will keep my walker at the end of my bed Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. d. There is no blood return when the tubing is aspirated, c. I will cover the catheter so he cannot see it (using stockinette or clothing to cover the IV insertion site is an appropriate distraction technique and might steer the client's attention away from the catheter), 62. Normally, red blood cells are flexible and round, moving easily through blood vessels. Assist a client to ambulate using a gait belt. Injuries from a motor-vehicle accident can be life threatening. Feed the client after warming the food. 4. 2. A nurse is filling out an incident report after finding a client lying on the floor. Rewrite each incorrect sentence to correct the error. 1. 3. Which of the following actions should the nurse perform when opening the sterile pack? Underline the adjective clause in each sentence. Which of the following client statements should indicate to the nurse the need for additional teaching? 1. Write the letter of your choice on the answer line. 6. Alert all off-duty personnel to stand by in case of call- in. Which of the following findings should the nurse identify as a safety risk? In what order should the nurse see the clients? A nurse receives a client care assignment from the charge nurse that he believes is unfair. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. a. Auscultate breath should at least ever 2 hr a. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 2. Patient safety must remain the priority. a. The key word in the stem is first. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. The RN with 2 weeks' experience on the postpartum unit. 3. Stand directly in front of the client a. Changing the subject Incorrect: Informing is the same thing as teaching. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). It is not a routine task. Which of the following methods should the nurse plan to use? 1. b. Provide a between meal supplement to the client. Perform the Heimlich maneuver Teaching insulin self administration cannot be delegated to the LPN. c. Tie linen bags securely at the top 2. Incorrect: An experienced neurological nurse should be assigned to this client due to the possibility that damage to the hypothalamus which controls body temperature has occurred.

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