a charge nurse is making client care assignments

Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. a. A nurse is admitting a client from a long-term care facility. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. c. Explain the risks and benefits of the procedure A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Besides yourself, there are the following staff: Your unit has 12 beds. 2. 3. 1. 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. Could you try contacting a support group c. Discard any residual gastric contents Which of the following statements should the nurse identify as an indication that the client needs further instruction? Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. A nurse is caring for an older client who is at risk for skin breakdown. Provide positive feedback to the UAP. 4. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. 2. Incorrect: The client does need to be cleaned out below the tumor so that the primary care provider can see the area of concern and complete the biopsy. 4. Select all that apply. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. c. Inflate the balloon when the urine flow stops b. An increased temperature will have a direct effect on the brain's metabolism and function. Ask the client to perform a return demonstration of insulin injection Charge nurses have integral roles in healthcare organizations. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. Incorrect: No, the monitoring is too specific for the med-surg nurse. 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. Assist ait to ambulate using a gait belt. b. Massage any bony prominences to promote circulation c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. Correct. A post-cardiac catheterization needing assistance with bedpan. 3. b. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Cystogram reporting burning on urination. Incorrect: The nurse cannot assign teaching to the UAP. This documentation should go to your manager. An LPN/VN has been floated to the emergency room following a chemical plant explosion. 3. a. 1. Which of the following actions should the nurse take prior to administering the tube feeding? A client who is disoriented and awaiting transfer to a long-term care facility. Select all that apply The charge nurse knows what client would be most appropriate for this LPN? Besides yourself, there are the following staff: Your unit has 12 beds. d. Identifying the client by name when making a referral for home health services, 30. c. Palpating for pedal edema 4. Gather supplies to prepare room for isolation. Which of the following findings should the nurse expect? IV of D5 NS at 75 mL/hour with a 20 gauge catheter. 4. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. The RN requests reassigning at least one of the clients to another nurse. Serve milk products separately from meals The client is considered unstable until assessed by the nurse. d. Counting radial pulse 3. c. Why are you crying? 3. The RN with 5 years' experience in the Labor and Delivery unit. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. 2. However, it remains true pain for this client and the client would need intervention to help manage this pain. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) Select all that apply. Skill level and scope of practice of each staff member, Exit HESI (Actual hesi hints), EXIT HESI 2, Julie S Snyder, Linda Lilley, Shelly Collins. b. What client should the nurse assess first? c. Complete an incident report Assist the float nurse with the clients case. 4. Client with a T-5 spinal cord injury beginning rehabilitation therapy. b. 5. 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 caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which prescription should the nurse question and have corrected? The third client would be the one needing a dressing change. c. Rephrase statements the client does not hear 5. 77. This client can wait until the others are treated. Suggest splitting the shift with another nurse. c. Discard the tablet and obtain another dose of medication (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). Which of the following explanations should the nurse provide? Discuss the assignment with another LPN. When asking the client about his receptiveness to the transfer 2. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. 3. 3. c. Hallucinations at the onset of sleep Describe the types of machining operations that can be performed on a lathe. Documentation of what occurred, and the client's assessment is required in the nurse's notes. Complete blockage of the large intestine. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. a. An adolescent client post appendectomy reporting pain. a. The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. Which of the following actions should the nurse take to assist the client with feeding? b. Numbness 2. 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. 2. 4. c. Lock the medication in a room and finish preparing it after returning from the emergency Which of the following client statements indicates an understanding of the procedure? Which of the following tasks should the charge nurse reassign to a licensed nurse? c. Use intermittent eye contact Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. 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). a. Clarification Refuse the overtime assignment, being prepared for disciplinary action. Feed the client after warming the food. The expected standard of care was strict bed rest), 96. 1. They have found my address and are coming for my family!" 2. Narrative interaction A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. e. Talking with the client's partner, 79. 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. c. Washes and rinses her hands for 10 seconds, 11. b. I should call my doctor if I find it harder to concentrate Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. Incorrect: The RN is responsible for collecting data. e. Feed a client who had a stroke 3 months ago, 31. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. The client asks the nurse, "Why do I need that? 2. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? The women's health charge nurse is making assignments for the next shift. b. I will keep the fluorescent ceiling light on in my room at night In which harmonic number n is the string vibrating? Notify the primary healthcare provider. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. 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. b. Select all that apply This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. Administer tap water enemas until clear at 6 AM. a. c. I will make sure my visitors smoke outside The nurse voices his concern to the charge nurse. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. Two nurses lifting the client under the shoulders INCORRECT 3) Review a low-sodium diet for a client who has hypertension. Battery 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 . A nurse is caring for a client who is postoperative following abdominal surgery. 4. 2. Select all that apply A client receiving heparin injections for deep vein thrombosis. December 5, 2020. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. A charge nurse is making client care assignments for the day. which Which of the following indications should the nurse include? As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. a. 5. A nurse is implementing direct nursing care for a group of clients in an acute care facility. which of the following actions should the nurse perform? a. Broth 1-month-old infant with bronchiolitis with a respiratory rate of 60 6-month-old infant with pneumonia on oxygen 4-year-old child with nephrotic syndrome with 4 protein in the urine 6-year-old child 2-day post-op appendectomy with a surgical drain Electric cords behind the furnitrure Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. 4. 2. 1., 2., 3., & 4. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. Incorrect: The RN is responsible for developing the plan of care which would include necessary referrals. 3. Assist a client to ambulate using a gait belt The nurse can also accept the assignment; however, that nurse should document professional concern for client safety and the process you used to inform the facility (manager) of your concerns. b. d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. . 4. The client should be assessed first to rule out respiratory difficulty and hemorrhage. Reporting laboratory findings to a member of the client's family 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. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. b. 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. Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. he charge nurse is making client care assignments for the evening shift Asking for an explanation 1. 2. Correct: Did you notice the hint? Photo comes from the Greek word for light. Select all that apply -Review a low-sodium diet for a client who has HTN Client who is a diabetic experiencing diabetic neuropathy. c. I will begin upon the client's admission to the facility A nurse is caring for a client who is immobile. Incorrect: Although this nurse may be accustomed to caring for clients in acute situations requiring a higher level of care, this nurse is not familiar with caring for clients with preeclampsia. 3. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. Ask the float nurse, "Have you been drinking?" Which of the following actions should the nurse take regarding informed consent? Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. A nurse is planning to discharge a client who has quadriplegia to his home. The client would develop severe cramping. Elevating the head of the bed 30- 40 for the client post thoracotomy Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. During the admission of pediatric client with a compound fracture of the right femur following a sports injury, which delegation by the charge nurse is most appropriate? What is the best response by the charge nurse? The nurse is reviewing some clients' prescriptions. Which of the following actions should the nurse take first? A home health nurse is conducting a home safety assessment for an older adult client. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. 2. An adult (18 years or older) can create an advanced directive. This is a task that can be delegated to the LPN/LVN. d. Remove tea and coffee from meal trays, b. a. It is within the LPNs scope of practice to administer antibiotics. d. Explain oral hygiene to a client receiving chemo Complete a client assignment sheet for the oncoming staff. A nurse who is on hormone replacement therapy. Explain administration is demanding a decreased overtime. Sudden attacks of sleep It would not be appropriate to overload this new employee with extra work. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? b. Collecting I & O totals for unit clients at the end of shift. The client can indicate desire for Do Not Resuscitate (DNR). Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. c. To determine the client's electrolyte balance Wrapping the dentures in tissue while the client sleeps Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? b. 4. Report of feeling pressure A nurse is administering a cold therapy application to a client. Client with ureterolithiasis who requires frequent PRN pain medication. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. a. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? 4. 4. 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. This client should report an improved respiratory, not shortness of breath. a charge nurse is making client care assignments for the day. Pernicious Anemia Society Also, making a surgical bed for the client returning from surgery is a basic procedure. Pain a. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. 3. A client post pacemaker insertion, awaiting discharge instructions. c. Behaving defensively When staff do not feel vested in any new process, there is a sense of underappreciation. Which of the following findings should the nurse identify as a safety risk? Delegate 2 nurses to work with the client. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. 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. NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet Draining the colostomy bag on a client with diarrhea. He charge nurse is making client care assignments for the evening shift. b. a. However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. Warm the feeding solution to the body temperature 2. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. The client is getting better. Which of the following should the nurse include as a criterion for applying restraints? c. Interpersonal (interpersonal communication is face-to-face interaction with another person. c. Visual observation for nonverbal signs of pain The nurse has just completed a 12 hour shift. Hold the penis at a 30 to 45 degree angle when inserting the catheter c. Environment A nurse instructs a female client about collecting a midstream urine sample. 3. Evaluate client's safety risk factors. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. Which of the following responses should the nurse make? b. I can detect the presence of carbon monoxide by a metallic odor The nurse is using which of the following therapeutic communication techniques? A nurse is caring for a client who is about to have a colonoscopy. c. Distended bladder Which of the following actions indicates that the AP understands the principles of infection control? This is an elderly client who is a new admit. They are likely to wait for others to initiate conversation A person can be designated to make medical decision in the event the client cannot. Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. b. d. Let's wait until tonight to see if he continues his behavior, 63. Monitor for GI upset 30 minutes after meals. 3. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. 2. b. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. d. Voided 30 mL frequently d. Custard & 6. American Sickle Cell Anemia Association Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding). a. a. Reach around the pack and open the top flap away from the body, 53. c. Palpating for pedal edema Which of the following responses should the nurse provide? 1. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. Both of these clients are terminal. A charge nurse is making client care assignments. c. They tend to use more verbal communication Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. a. Reposition the client every 3 hr If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. 1. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. The client reports constipation for 4 days which may be an indication of worse problems. 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. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? Besides, a charge nurse is a leader on the floor and should possess . The surgeon initially prescribes a clear liquid diet. Determine caregiver's stress level and coping strategies. c. The emphasis is on the client's complete recovery from the illness or injury The assignment process requires constant evaluation and reevaluation of information and priorities. Which of the following nontherapeutic communication techniques is the nurse using? Which of the following instructions should the nurse include? What would the approximate meaning of photoelectric be, based on these root words? The nursing supervisor may be able to assist with client care until another nurse can come in to work. Denial 1. Which of the following actions should the nurse take? The nurse is responsible for the assessment of all vital signs of post-op clients. Which clients could be assigned to an LPN? b. Assess the client 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. Gathering needed equipment and supplies is within the scope of duties for the UAP. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures b. b. Assigning tasks to an AP As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. A nurse is having difficulty caring for a client due to variables affecting the communication process. 3. We do not know the extent of her injuries based on what the option tells us. 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. Elderly client who fell and fractured the left femoral neck. b. b. c. Distended bladder 1) Bathe a client who had an amputation 2 days ago. a. a. It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. 4. Something new could have occurred with the clients, making the assignments too heavy. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. a. c. I will inspect my crutches everyday for signs of wear A nurse is filling out an incident report after finding a client lying on the floor. e. The urge to move the legs when trying to sleep, 66. Incorrect: This again is assessment which is the role of the RN only. Question: A charge nurse is making client care assignments. We see that the temperature is already elevated, which makes us worry that infection is present. a. I'll apply ankle to my ankle today and tomorrow d. Perception 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). Incorrect: A UAP may not remove and change surgical dressings, which would involve assessment and further education.