a charge nurse is making client care assignments
These irregularly shaped cells can get stuck in small blood vessels, which can slow or block blood flow and oxygen to parts of the body. A nurse is caring for a client in the orientation phase of the nurse-client relationship. Complete blockage of the large intestine. Give magnesium citrate 296 mL at 3 PM today. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. C-section planning discharge, postpartum infection, mastectomy. Which of the following responses should the nurse provide? There is a trailing zero after the prescribed dose. 3. a. e. Talking with the client's partner, 79. 3. 2. 1. 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. Identify and assess each incoming client. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. A charge nurse is observing a group of newly licensed nurses. Could you try contacting a support group The last client would be the one needing dietary education. Normally, red blood cells are flexible and round, moving easily through blood vessels. a. I'll apply ankle to my ankle today and tomorrow a. 1. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. They have found my address and are coming for my family!" 5. 1. Nothing will get passed the complete blockage. Which preoperative prescription should the nurse question? Dentures should be stored in a denture cup. Report of feeling pressure Incorrect: It is out of the UAP's scope of practice to administer medication. c. Industry vs inferiority Two nurses lifting the client under the shoulders Which of the following actions indicates that the AP understands the principles of infection control? e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. 3. (SATA) -Bathing a client who had an amputation 2 days ago. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). 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. Left upper forearm Which of the following infection-control precautions should the nurse use caring for this client? 1) Bathe a client who had an amputation 2 days ago. a. Discarding the first urine voided by the client starting a 24 hour urine test. However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). (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. 3. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. Make referrals to community services. a. a. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. d. I shouldn't advice you about what is ultimately a personal decision, b. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. Asking for an explanation Incorrect: The RN is responsible for teaching. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. Everything will be okay a. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. Select all that apply Which of the following statements should the nurse identify as an indication that the client understands the instructions? Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth). 2. b. a. I will begin 48 hr before the client's discharge 1. _________________ (magnanimous), a. generous Answer the following question to test your understanding of the preceding section: c. I'll wear low heeled shoes from now 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. A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. 4. To remove gastric acid that might cause dyspepsia Tenderness over the symphysis pubis A nurse is prioritizing care for two clients at the start of the shift. c. Shivering There may be a good reason that the tray was not served. When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. Prepare a list of clients who could quickly be discharged or transferred. b. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. 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. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? c. imaginary }? benefactor of the world. b. Numbness 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. e. an open perineal wound, 92. The surgeon initially prescribes a clear liquid diet. 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. Wears a gown when entering the room of a client who requires contact precautions 4. 1. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Collecting I & O totals for unit clients at the end of shift. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. 2. d. Move to the opposite side of the pack and open the fourth flap, 54. a. a. The cleint's family asks the nurse for info about this type of care. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. This client will also need a lot of education regarding anti-rejection medications. This client needs careful monitoring and specialized care. c. I will place an area rug at the entry of my bathroom It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home), 45. 3. The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. In what order should the emergency department triage nurse send these clients to a room for treatment? In which situation should the nurse consult the client's advanced directive? Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? 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 . However, it remains true pain for this client and the client would need intervention to help manage this pain. 1. 4. Determine which personnel could be sent to the command center. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. 3. Select all that apply 2. 2. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). b. Assess the client 3. 3. Which of the following statements should the preceptor make? c. Provide the client with a diet high in protein A nurse asks a client how he is feeling. d. Reduced blood viscosity, a. Auscultating heart sounds 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. b. Assigning tasks to an AP b. d. Wait to discuss the behavior in the presence of others, a. 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. Narrative interaction (involves asking a client to share personal stories so the nurse can better understand the context of a client's life in the working phase of a nurse-client relationship), 47. b. 3. Furosemide 40 mg PO q.d. Cardiac catheterization with a decreased pedal pulse below insertion site. 1. 4. Nursing questions and answers. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. a. 77. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. . 2. 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? b. Measure urine output when client voids. d. Remove and reinsert the NG tube, a. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. Provide an adaptive feeding device for the client, 50. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). 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 d. Routine acquisition of a urine specimen Remember airway, breathing and circulation (ABCs). Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? 1. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. 1., 2., 4., & 5. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Have a pen and paper handy Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. b. 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. What task would be best to assign to the LPN/LVN? Comatose client with end stage chronic obstructive pulmonary disease. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. Rewrite each incorrect sentence to correct the error. 1. 2. b. During exacerbation, the client will have many diarrhea stools. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) Complete a client assignment sheet for the oncoming staff. 2. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. b. The client with cystitis is stable and has a predictable outcome. Remember, pick the killer answer first! a. Which of the following physiological responses to prolonged immobility should the nurse expect? Talk to each nurse about concerns related to assigned clients. Place the client in a lateral position c. Hallucinations at the onset of sleep Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? If the decimal point is missed in this situation, the client could receive 5 mg instead of the intended dose of 0.5 mg of risperidone. 1., 4., & 5. d. Counting radial pulse, 100. b. Dons gloves to empty a urinary drainage device a. Select all that apply The client reports constipation for 4 days which may be an indication of worse problems. 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 nurse is preparing to move a client who is only partially able to assist up in a bed. Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. d. Do you think crying will help? b. 2. 4. with this question, the nurse is using which of the following communication techniques? 1. A client has been admitted with folic acid deficiency anemia. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. The report should contain consequences. If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. Which action should the nurse interrupt the UAP from performing? 4. c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Call the client's provider Although this will require assessment, this client is not the priority at this time. 2. 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. Incorrect: This group of clients needs specific teaching. 1. A nurse is caring for a client who has a mental health disorder. Document current functional status assessment b. I will come back later and we can talk Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? 4. d. What have you done in the past to cope with this issue? The nurse does not know the skills of the new UAP. 1. This client would not be a priority to be seen before assessing the client with the cast that is too tight who may be developing compartment syndrome. c. Explain the risks and benefits of the procedure 2. This could cause a medical emergency. Besides, a charge nurse is a leader on the floor and should possess . Once the client is stable, the UAP could perform this task. 1. a. I'll provide more stimulation in his environment Channel Focus on the client's present circumstances instead of his personal stories Disconnect client's nasogastric (NG) tube suction to allow ambulation. Assessing this client and titrating the diltiazem requires the skills of an RN. 5. 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. Check to see if the suction equipment is working The nurse also needs to be aware of the color and amount of urine voided. Refuse the overtime assignment, being prepared for disciplinary action. c. Discard any residual gastric contents A nurse is caring for a client who is postoperative following abdominal surgery. Perform range of motion (ROM) exercises at least 2-3 times daily Review the action of insulin therapy c. Assist the client to the floor and begin mouth-to-mouth Which of the following approaches should the nurse use when using confrontation? Client prescribed antibiotics for cystitis. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? d. Apply cornstarch to keep the skin dry, b. Wash the area of the puncture thoroughly with soap and water (the greatest risk to this client is injury from any bloodborne pathogens on the needle therefore the first action the nurse should take is to provide immediate first aid), 28. In order to reorganize staffing, the nurse manager should initiate which action first? c. Review the client's progress toward personal objectives b. 3. a. 3. b. I will begin once the client's discharge order is written Notify the charge nurse of the observations. b. Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. The nurse is caring for four clients. However, there are some basic points which are standard among all facilities. 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. 2. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. A two-hour limit on visits discourages quality time. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. c. I will make sure my visitors smoke outside Discuss the issue with the leader of the "best practices" committee. d. Place the tablet directly into a medication cup, 36. The nurse prefers to check all vital signs on all clients. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." Change the subject when the client behaves defiantly 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. d. Voided 30 mL frequently Client diagnosed with inoperative brain tumor who is confused. d. They disclose more personal information, a. The RN with 2 weeks' experience on the postpartum unit. Assist a client to ambulate using a gait belt. e. The urge to move the legs when trying to sleep, 66. 4. Notify the board of nursing (BON) that the float nurse is an alcoholic. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. Assist ait to ambulate using a gait belt. a. I'll sit with my knees lower than my hips Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. American Sickle Cell Anemia Association a. The nurse is responsible for the assessment of all vital signs of post-op clients.
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