c. Can you tell me why you chose me? Which task would be appropriate for the nurse to assign to the unlicensed assistive personnel (UAP)? Clients over the age of 65 must have a saline lock according to facility policy 4. Based on the information provided in report, which client condition should be the nurse's priority? The nurse would then start the 24 hour urine once the 1st void has been discarded. b. Pick up the tray and tell the UAP that they didn't do a good job. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. c. Do not eat or drink anything the morning of the test 3. Making Client Care Assignment NUR 211: Module 4 Assignment Rationale: The patient is stable, she will need to teaching on self-care after a pacer insertion. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). 3. What action should the nurse take after mistakenly administering the wrong medication? A nurse is caring for a client who is postoperative. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. Select all that apply. 3. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. 2. Which of the following statements should the preceptor make? 6. In which harmonic number n is the string vibrating? Teaching about a medication Stand directly in front of the client a. Feed a client that had a stroke 3 months ago. Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case), 29. Which of the following methods should the nurse plan to use? Sit side-by-side with the client c. The client's culture Which of the following communication techniques should the nurse use during this phase? Reach around the pack and open the top flap away from the body Take several shallow breaths during the procedure 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. 1. Which of the following instructions should the nurse include? Protective A nurse is orienting a new assistive personal (AP) to the unit. _________________ (magnanimous), a. generous which client would be an appropriate care assignment for this lpn? A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Besides yourself, there are the following staff: Your unit has 12 beds. b. I'll use the cleansing wipes from the front to back A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. a. Involve the client in their plan of care. The nurse considers various ideas submitted by team members. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department 3. 2. Which of the following activities should the nurse perform in this zone? 5. Injuries from a motor-vehicle accident can be life threatening. c. Request a tray without pork As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. This is a task that can be delegated to the LPN/LVN. a. 2. 1., 3, & 4. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. The client with cystitis is stable and has a predictable outcome. 4. a. A client receiving a blood transfusion that requires monitoring. Client reporting epigastric pain and nausea after eating. An increased temperature will have a direct effect on the brain's metabolism and function. 2. a. An experienced person who can research "best practice" regarding the issue is needed. Of my three brothers and sisters, my sister Giselle has the best sense of humor. a. 1. 1. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." a. Which task should the nurse take responsibility for completing? Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? Removing the client's dentures d. Social conversation, a. e. Throw rugs, 40. 4. 1. Besides, a charge nurse is a leader on the floor and should possess . 2. 4. It would not be appropriate to overload this new employee with extra work. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. The first vital sign check was performed by the nurse. Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. Anyone over age 18 can have an Advanced directive. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. They are more direct when discussing issues 2. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. c. Physical therapist a. Measure urine output when client voids. b. 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. Assist ait to ambulate using a gait belt. The nurse could definitely be part of the committee. Return any fresh linen not used for a client to the linen supply area Each state BON differs in that also some have treatment programs they administer themselves. A nurse who is 10 weeks pregnant. Turn on local news for up-to-date information on the train derailment. A nurse is engaging in relationship counseling with a male client. d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. Problems in Delegation: A Busy Day on the Floor - Quizlet A nurse is caring for a client who states, "I have got to get out of this hospital! This client is stable and predictable. Changing the subject c. Offer the client personal thoughts and beliefs 1. 2. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. a. The client is considered unstable until assessed by the nurse. Which of the following approaches should the nurse use when using confrontation? 3. Speak to the UAP to determine what happened with the feeding. 1. a charge nurse is making client care assignments for the day. which a charge nurse is making client care assignments for the day. c. I will place an area rug at the entry of my bathroom 4. Provides safe, effective delivery of patient care in . 3. PDF 8 steps for making effective nurse-patient assignments butter, which contain 16 g of protein, 7 g of carbohydrates, The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Correct: Traction should never be relieved without a primary healthcare provider's prescription. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. 2. Two nurses lifting the client under the shoulders 3. 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). Provide an adaptive feeding device for the client In what order should the emergency department triage nurse send these clients to a room for treatment? Talk to each nurse about concerns related to assigned clients. c. Blood-tinged urine 4. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. with this question, the nurse is using which of the following communication techniques? A nurse caring for a client is using active listening skills. Which of the following types of communication breakdown does this response represent? c. Include intact skin at the wound edges in the culture The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. c. 214 The nurse should not lecture, scold or argue with the float nurse. Right forearm The client then states, "I have changed my mind and do not want to have the procedure done." 6. 3. So what is wrong with option #1? Incorrect: This would unnecessarily alarm the clients. 1. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to withdraw consent therefore the surgeon should be the one notified of the request), 14. This referral would be appropriate. A lack of rapid eye movement (REM) sleep a. I will begin 48 hr before the client's discharge Which task is appropriate for the nurse to delegate to the experienced nursing assistant? 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. Twist at the waist when she moves an object to one side Relief of urinary retention 3. The client attempted to climb over the side rails and fell Remind the client that a signed informed consent form is a legally binding document c. I'll need to shave the hair off the skin where I place the electrodes a. Provide an adaptive feeding device for the client, 50. c. Notify the nurse manager 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. & 5. 1. A nurse is working with an assistive personnel (AP) to The body needs vitamin B12 to make red blood cells. The nurse is planning care for a client admitted with Alzheimer's Disease. Incorrect: Moistening the dentures will ease insertion. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. c. I'll clean the inside of the container with a wipe Which of the following indications should the nurse include? There may be a good reason that the tray was not served. Which of the following tasks should the nurse delegate to AP? 2., 3. Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. This is likely cholelithiasis, which will need to be checked out. There will likely be both physical and emotional injury that needs attention, which places this client third. Which of the following tasks should the nurse delegate to assistive personnel (AP)? b. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. d. Remove and reinsert the NG tube, a. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. 2. Write the letter of your choice on the answer line. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. The reason for the UAP not feeding the client needs to be determined. a. Select all that apply 2. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. Which of the following actions by the nurse is considered an indirect nursing care activity? c. Palpating for pedal edema A nurse is admitting a client who has a partial hearing loss. 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. Explain oral hygiene to a client receiving chemotherapy Change the subject when the client behaves defiantly UAPs can assist with elimination and are taught how to measure output. c. Hallucinations at the onset of sleep 3. Which response by the LPN is appropriate in response to the inappropriate delegation? Estimate the number of Calories in two tablespoons of peanut c. Explain the risks and benefits of the procedure Each ROM movement should be repeated 5 times during the session. e. Suctioning a client's new tracheostomy tube, 93. c. The restraints should promote the client's safety and prevent injuries Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. 1. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. The cleint's family asks the nurse for info about this type of care. 3. The facility has insurance that will cover malpractice litigation Which of the following info should the nurse include? b. 1. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. c. Depression A client with diabetes admitted for debridement of a foot ulcer. c. The client was restless and trying to get out of the bed all evening Wrapping the dentures in tissue while the client sleeps a. Administer sodium polystyrene sulfonate enema. Report from the night shift nurse for one client included the recent development of the following findings: BP 150/100, proteinuria, severe headache, blurred vision, and abdominal pain. c. Review a low-sodium diet for the client who has hypertension Which of the following actions should the nurse take prior to administering the tube feeding? Briefly assess every client. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The nurse is caring for four clients. Respite care allows the primary caregiver time away from day-to-day care responsibilities The key word in the stem is first. 1. a. Clarification The women's health charge nurse is making assignments for the next shift. This client could be transferred with traction still maintained. Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). Convenience for the nursing staff or the client's family Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. A client with fibromyalgia reporting generalized pain of 7 out of 10. Obtain a client's consent Serve food that have a hot/cold balance 2. (b) H3O+(aq)+OH(aq)2H2O(l);K=1.01014\mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{OH}^{-}(a q) \longrightarrow 2 \mathrm{H}_2 \mathrm{O}(l) ; K=1.0 \times 10^{14}H3O+(aq)+OH(aq)2H2O(l);K=1.01014 4. An adult (18 years or older) can create an advanced directive. c. Check to see if the suction equipment is working Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Report the incident to the charge nurse Ask the primary healthcare provider to suggest the best oral care procedure. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. A client requesting assistance packing his belongings for discharge later today.. 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? 1. Which of the following items should the nurse include on the lunch tray? A nurse is planning to discharge a client who has quadriplegia to his home. 4. Select all that apply. b. Irrigate the wound with an antiseptic prior to obtaining the specimen 1. 1. d. Explain the procedure to the client if they do not understand, c. Lock the medication in a room and finish preparing it after returning from the emergency (securing them and returning later to finishing preparing and administering them decreases the risk of medication errors), 72. Correct. 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 The LPN should refuse the intervention. There is a trailing zero after the prescribed dose. Thus, the tasks involve successful management of the charge nurse's responsibilities. Select all that apply. Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. 2. A nurse is assessing a client who has narcolepsy. 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 was the rationale for this plan? d. 216, 22. Correct: An LPN should be assigned clients with predictable outcomes. a. I wish I didn't have to attach the electrodes to my skin Understanding the charge nurse's role in staffing 4., & 5. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? 4. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? Incorrect: Is phantom pain something that is unexpected with above the knee amputations? Documentation is a communication tool for the interprofessional health care team. A nurse is caring for a client who is about to have a colonoscopy. 4. 77. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. The client reports constipation for 4 days which may be an indication of worse problems. It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. A Medical Power of Attorney is a type of Advance Directive that appoints a health care agent to make decisions on the client's behalf when the client is unable to do so. Correct: Hot water may damage dentures so intervention is needed. What is the most appropriate action by the charge nurse? Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. 2. However, there are some basic points which are standard among all facilities.