In option #4, we see that the leading zero is missing from the prescription. d. Breathing in carbon monoxide can cause headaches and nausea, c. Take the client to the bathroom every 2 hr (this establishes a regular pattern of toileting and the client learns to trust that the staff will place value on his bladder-training needs), 59. A practical guide to making patient assignments in acute care 1. Focusing Perform range of motion (ROM) exercises at least 2-3 times daily Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? a. Which of the following items should the nurse offer the client? A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. a. c. Take the client to the bathroom every 2 hr Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. Which of the following sites should the nurse plan to use to obtain the blood specimen? Client two days post percutaneous endoscopic gastrostomy (PEG) placement. Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. This would be out of the UAP's scope of practice. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. 3. d. What have you done in the past to cope with this issue? Which region of the tRNA pairs with mRNA? 1. A nurse is working with an assistive personnel (AP) to It is within the LPNs scope of practice to administer antibiotics. 2) Assist a client to ambulate using a gait belt. c. Discard the tablet and obtain another dose of medication Teaching insulin self administration to a diabetic client. c. Washes and rinses her hands for 10 seconds So, now you must decide which of these high priority clients should be seen in what order. 6. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. A nurse has just finished a wound irrigation for a client who requires contact precautions. The stem does not indicate any loss of neurological function resulting from the seizure activity. Correct: An LPN should be assigned clients with predictable outcomes. Which of the following actions should the nurse include in the plan? Lisinopril 20.0 mg PO daily A nurse is caring for a client who is postoperative following abdominal surgery. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge. Ask the float nurse, "Have you been drinking?" b. I'll do exercises that strengthen my abdominal muscles 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. Patient safety must remain the priority. Which of the following statements should the nurse identify as an indication that the client requires further clarification? 3. e. Suctioning a client's new tracheostomy tube, 93. A medical-surgical LPN has been sent to a short-staffed pediatric unit. The nurse has another priority. Decreased or suppressed respiration are priority. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. To which of the following rooms should the nurse assign the client? c. Leave a nightlight on in the client's room They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. Transfer essential medical record to the receiving facility. d. I shouldn't advice you about what is ultimately a personal decision, b. 1. When staff do not feel vested in any new process, there is a sense of underappreciation. a. A charge nurse is making client care assignments. A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. If the client is unstable, the nurse would retain the role of measuring the vital signs. d. Custard Everyone knows there are others who can chair this committee better than me 4. Incorrect: The RN is responsible for assessment and evaluation. Incorrect: The purpose of a cystogram is to examine the inside of the bladder to confirm the presence or absence of abnormalities, or even obtain a biopsy. It is not a routine task. Correct: Traction should never be relieved without a primary healthcare provider's prescription. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. a. Take several shallow breaths during the procedure A nurse is caring for a client who has a mental health disorder. c. Face shield Which of the following tasks should the nurse delegate to assistive personnel (AP)? The third client would be the one needing a dressing change. Which of the following is the priority action by the nurse? Plan all care to be completed in early morning to allow afternoon for visitation. What was the hint? 4. Which of the following actions should the nurse take first? Elderly client admitted 30 minutes ago with reports of constipation for four days. 3. Comatose client with end stage chronic obstructive pulmonary disease. This is a task that can be delegated to the LPN/LVN. Administer tap water enemas until clear at 6 AM. One important aspect is encouraging the flow of ideas between management and staff members. Which tasks should the charge nurse delegate to the nursing assistant? Notify the charge nurse of the observations. 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. 1., 4., & 5. 4. Provide an adaptive feeding device for the client, 50. 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. d. 216, 22. The charge nurse must triage and assign clients to appropriate staff. c. Foot All these clients have a GI problem. c. The emphasis is on the client's complete recovery from the illness or injury 1. 2. 3. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Inform the client of the need to avoid irritants such as carbonated beverages. (Select all that apply.) Which of the following responses should the nurse make? Clients over the age of 65 must have a saline lock according to facility policy Only the state Board of Nursing can legally determine the LPN's scope of practice. Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER 4. a. Who should the nurse see first? d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. Collecting I & O totals for unit clients at the end of shift. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. 3. Reach around the pack and open the top flap away from the body, 53. Talk to each nurse about concerns related to assigned clients. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. d. They disclose more personal information, a. It involves people who are constantly changing-their conditions improve and deteriorate, they're admitted and discharged, and their nursing needs can change in an instant. 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. Which of the following instructions should the nurse include? In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. a. I will begin 48 hr before the client's discharge a. Auscultate breath should at least ever 2 hr 2., 3. Which of the following findings should the nurse expect? 2. 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. The healthcare team should recognize the client as the center of the team. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. a. 3. c. I'll need to shave the hair off the skin where I place the electrodes Discarding the first urine voided by the client starting a 24 hour urine test. Incorrect: No, the monitoring is too specific for the med-surg nurse. Incorrect: The scope of practice for the UAP encompasses basic personal care needs, ambulating, and taking vitals; however, the nurse must still verify that all tasks are accomplished in a safe manner. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Evaluate pain relief after narcotic administration. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. 1. So, the UAP can assist a client to brush and floss teeth. Symbolic communication The nurse received a client following surgery 8 hours ago. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? A charge nurse is planning client activities for the day. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Which of the following should the nurse identify as an interpersonal variable? The nurse considers various ideas submitted by team members. Correct: Communication is important in delegation, as is follow-up. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. But the client does need to be assessed prior to the client with Crohn's disease who is improving. b. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. 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. d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. Review the action of insulin therapy 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. one of the licensed practical nurses Get the answers you need, now! Select all that apply EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago 4. 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 . c. Discard any residual gastric contents The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. Semi-formed stools are great news! 4. Client reporting epigastric pain and nausea after eating. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Receive report from the emergency department (ED) on a new client. c. Include intact skin at the wound edges in the culture Following a large hurricane, multiple clients arrive at the emergency room for treatment. 5. The client post PEG placement is stable. Each state BON differs in that also some have treatment programs they administer themselves. Incorrect: This again is assessment which is the role of the RN only. 3. A client with epilepsy reporting an odd smell in the room. a. b. When determining if the client is eating a well-balanced diet The area surrounding the insertion site feels warm to the touch, 61. -Review a low-sodium diet for a client who has HTN A nurse is caring for a client who has a hip fracture that requires surgical repair. One nurse lifting as the client pushes with his feet Refuse the assignment, being prepared for disciplinary action. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12. b. I will begin once the client's discharge order is written Which preoperative prescription should the nurse question? 4. Something new could have occurred with the clients, making the assignments too heavy. c. Hand-off technique 2. Speak to the UAP first and then decide if a between meal supplement is needed. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? Which of the following actions should this nurse take? Wrapping the dentures in tissue while the client sleeps a. Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following statements should the nurse identify as an indication that the client needs further instruction? c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day 3. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. 4. 3. Answer the following question to test your understanding of the preceding section: Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. c. I will place an area rug at the entry of my bathroom d. Counting radial pulse, 100. A nurse is caring for a client who is immobile. Nothing will get passed the complete blockage. 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. c. Lock the medication in a room and finish preparing it after returning from the emergency 1. Hold the penis at a 30 to 45 degree angle when inserting the catheter Incorrect: This group of clients needs specialized care. It happened so long ago - just get over it!" 1. The nurse should not lecture, scold or argue with the float nurse. 1. 1. A client with exacerbation of COPD reporting dyspnea. 1. Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. a. Assist a client to ambulate using a gait belt. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. 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. Teach caregivers memory enhancement aids. 3. 1. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. 6. Education A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. A skill for which the ap has received instruction the - Course Hero 1. NURSING ASSIGNMENT- delegation in the workplace | Studymonk Client scheduled for a dressing change to foot ulcer. 1. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. The nurse is using which level of communication at this time? b. 1, 3 & 5. d. Discussing intake and output Elderly client who fell and fractured the left femoral neck. c. Inform the surgical team to cancel the client's surgery d. The nurse has already considered alternatives to restraints, a. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu Performing passive range of motion (ROM) on the client with right sided paralysis. Correct: A LPN should be able to care for a client with arthralgia who requires pain medication on a regular schedule and is receiving warm compresses. Which client can be assigned to the LPN? The charge nurse's best response is to first obtain the needed information to make the best decision. 1. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. A nurse is assessing a client who has narcolepsy. 3. It also helps the client deal with issues that are important to him), 19. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. 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. b. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). The client's self-report of pain severity Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. 1. c. Palpating for pedal edema Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. b. Incorrect: The nurse retains the responsibility for the delegated task. 1. The nursing supervisor may be able to assist with client care until another nurse can come in to work. 2. Teaching insulin self administration cannot be delegated to the LPN. 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. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? a. "The client is weak on the right side, so please assist the client with dressing . 2. When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. c. Irrigating a client's abdominal wound Which of the following activities should the nurse perform in this zone? Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. 4. UAPs can assist with elimination and are taught how to measure output. Tenderness over the symphysis pubis A nurse is caring for a client who has a wound infection. The nurse asks why the client needs to know this. 1., 2., 4., & 5. Select all that apply b. Four clients arrive for their appointment at a diabetic clinic. The fourth client the nurse should assess is the client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. Perform the Heimlich maneuver 2. Assist client to brush and floss teeth. 1. A nurse is planning care for a female client who has an indwelling urinary catheter. Encourage the client to be more cooperative. d. Providing information, a. 4. c. Providing anticipatory guidance to a client in crisis 2. c. Hold an object away from her body as she lifts it Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 The LPN can monitor the wound and provide care to the PEG insertion site. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. What is the best response by the charge nurse? When assigning nurses to patients, the charge nurse must consider the acuity of the patient's condition, the skills of the nurse, and the availability of other staff members. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? Printable Nursing Brain SheetPrintable Nursing - soyu.caritaselda.es 5. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. A nurse is admitting a client who has a partial hearing loss. 5. They are likely to wait for others to initiate conversation d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound A. Transporting a client who experienced a stroke 72 hr ago to the radiology department

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