The stem does not indicate any loss of neurological function resulting from the seizure activity. d. Decreased calcium excretion, c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown), 27. d. What have you done in the past to cope with this issue? 3. c. Paraphrasing Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. Report of feeling pressure 2. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. 4. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. Which of the following communication techniques should the nurse use during this phase? If you give the magnesium citrate, which is a laxative, what will happen? Complete a client assignment sheet for the oncoming staff. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? What is the major histological difference between thick and thin skin? Nothing life threatening. Which region of the tRNA pairs with mRNA? Confrontation should occur in the presence of a charge nurse or supervisor. Though it may benefit staff to have one particular goal, some clients cannot tolerate to have everything performed at one time, and instead need short rest periods during personal care. This service began with the client's admission to the hospital Temporary urinary retention (common for clients to develop after removal), 90. Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu 3. The charge nurse is planning the staff assignments for the clients on a neurological unit. Describe the types of machining operations that can be performed on a lathe. c. Industry vs inferiority Give magnesium citrate 296 mL at 3 PM today. 4. *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. 4. a. I will begin 48 hr before the client's discharge a. d. I shouldn't advice you about what is ultimately a personal decision, b. 2. c. Distended bladder b. The area surrounding the insertion site feels warm to the touch, 61. The healthcare team should recognize the client as the center of the team. Keep the drainage bag at the level of the bladder c.) Use the clean technique to collect a specimen from the drainage system d.) Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. a. Reposition the client every 3 hr _____The house that we lived in for nine years has been sold. There is a trailing zero after the prescribed dose. b. Irrigate the wound with an antiseptic prior to obtaining the specimen A nurse who is 10 weeks pregnant. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Evaluate client's safety risk factors. Which prescription should the nurse question and have corrected? The nurse also needs to be aware of the color and amount of urine voided. A nurse is caring for a client whose partner asks to speak with the nurse. As a charge nurse, you're a frontline leaderthe first reflection of your organizationand you need to ensure you are meeting the organization's goals and values. Making client care assignments As the RN charge | Chegg.com 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." C. Review a low-sodium diet for a client who has hypertension. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. 1. d. Determine if the client uses hearing aids, b. 1. 2. a. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 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. Which tasks should the charge nurse delegate to the nursing assistant? A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Following a large hurricane, multiple clients arrive at the emergency room for treatment. Incorrect: Is phantom pain something that is unexpected with above the knee amputations? A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. A nurse instructs a female client about collecting a midstream urine sample. Ask the float nurse, "Have you been drinking?" Question: A charge nurse is making client care assignments. Which of the following statements should the nurse identify as an indication that the client requires further clarification? b. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. Ambulating a client who is 2 days post vaginal hysterectomy They are more direct when discussing issues 4. This client is not the nurse's first priority. 1. Placing the traction weights on the bed to transfer the client to x-ray. a. A skill for which the ap has received instruction the - Course Hero 1. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. It can result in muscle spasm and tissue damage. Observe the client before taking further actions Announce the new changes at the monthly staff meeting. c. Use an aggressive tone of voice Determine which personnel could be sent to the command center. 4. 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. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. 4. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. Where on the body is each type of skin found? Which of the following actions should the nurse take prior to administering the tube feeding? A nurse is discussing the norming stage of the group development process with a student nurse. a. The RN with 8 years' experience in the Intensive Care Unit. 4. 5. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. b. This includes medication enemas. Which of the following physiological responses to prolonged immobility should the nurse expect? 5. d. Talk with others who have info about the client, b. I can detect the presence of carbon monoxide by a metallic odor, 58. Battery Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. Gathering needed equipment and supplies is within the scope of duties for the UAP. c. The nurse may serve as a witness to informed consent for organ donation 2. b. Soaking the dentures in hot water 2. b. Donation costs are the responsibility of the donor's family and estate d. Talk with the client's partner, b. & 3. c. Discard any residual gastric contents 2. b. Massage any bony prominences to promote circulation 2) Assist a client to ambulate using a gait belt. a. Changing the subject Turning off continuous tube feeding to reposition a client, then turning the feeding back on. 4. c. Provide the client with a diet high in protein An Advance Directive includes a Living Will and a Medical Power of Attorney. e. The urge to move the legs when trying to sleep, 66. When a family member asks how respite care can help, which of the following responses should the nurse provide? INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. & 6. the nurse responds: "It must be very frustrating to encounter this kind of attitude." American Sickle Cell Anemia Association Performing passive range of motion (ROM) on the client with right sided paralysis. This client could be transferred with traction still maintained. d. Message, 67. 3. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. butter, which contain 16 g of protein, 7 g of carbohydrates, 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. Which of the following statements should the nurse make? Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? INCORRECT 3) Review a low-sodium diet for a client who has hypertension. So what is wrong with option #1? 4. b. I'm so sorry to hear about this Obtain a urine specimen from a client with an indwelling Foley catheter. Teach caregivers memory enhancement aids. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. Notify the surgeon that the client wishes to withdraw informed consent for the procedure What would the approximate meaning of photoelectric be, based on these root words? c. Raised toilet seats A client with a fractured right humerus who reports the cast is too tight. A client has been admitted with folic acid deficiency anemia. Which of the following actions should the nurse take to assist the client with feeding? 3. b. Which of the following should the nurse identify as an interpersonal variable? Oral surgeon 2. The cleint's family asks the nurse for info about this type of care. (Select all that apply.) Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? 1. The nurse voices his concern to the charge nurse. Administer sodium polystyrene sulfonate enema. b. Discuss the issue with the leader of the "best practices" committee. Point out inconsistences in the client's behavior d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? Correct: This group of clients is primarily med surgical. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. Incorrect: The RN is responsible for assessment and evaluation of clients. This client is stable and predictable. (Select all that apply) A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. Respite care provides holistic support and care for a client who is terminally ill Photo comes from the Greek word for light. 3. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? The body needs vitamin B12 to make red blood cells. There are a total of 10 adult clients. 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. UAPs can assist with elimination and are taught how to measure output. 2. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. a. Which clients should be assigned to the CNA? It happened so long ago - just get over it!" b. Dons gloves to empty a urinary drainage device Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. a. Which of the following instructions should the nurse include? A nurse asks a client how he is feeling. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". The surgeon initially prescribes a clear liquid diet. 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. What information should the nurse include? The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. Focus on the client's present circumstances instead of his personal stories A charge nurse is making client care assignments. 1. Notify the charge nurse of the observations. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. The nurse has another priority. 2. CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. A nurse is implementing direct nursing care for a group of clients in an acute care facility. b. Incorrect: The client will need IV access for sedation during the procedure and will need the fluid for hydration since the client is NPO. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. a. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. 4. Which of the following actions should the nurse take? b. (Select all that apply.). 4. Which of the following types of torts has the nurse committed? a. b. Feedback d. The nurse has already considered alternatives to restraints, a. Vital sign measurement c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. 2. Sudden attacks of sleep A client with COPD complaining of shortness of breath on exertion. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. Tenderness over the symphysis pubis Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. (Select all that apply.) b. Drag and Drop the items from one box to the other. c. Malpractice 4. a. Select all that apply d. Remove and reinsert the NG tube, a. 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? The nurse caring for the client at the time of death requests organ donation b. The charge nurse asks the nurse who works in a state where mandatory overtime is legal to work an additional 8 hours of mandatory overtime. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Cardiac catheterization with a decreased pedal pulse below insertion site. 4. The other options may be correct but are not the best first action. Review a low-sodium diet for a client with hypertension. 2. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. b. A client diagnosed with rheumatoid arthritis needing discharge teaching. 2. c. Face shield The client was lying on the floor next to his bed (nurse should document what they actually see), 68. 3. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Offer to take one of the clients. It's unfortunate that I have to be in the hospital for this treatment The client attempted to climb over the side rails and fell c. Include intact skin at the wound edges in the culture The charge nurse identifies that three admissions were received during the night shift, one nurse has called in sick, and the clients on the unit have high acuity levels. There are a total of 10 adult clients. 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. 4. Alcoholic Anonymous The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. The client states, "I am so nervous about what the doctor might find during the test." A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). Explain administration is demanding a decreased overtime. Write N next to the nonessential clauses and E next to the essential clauses. d. Transporting a cerebrospinal fluid specimen to the lab 4. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. Following the teaching, the nurse asks the client to describe one physical effect. Which of the following client statements should indicate to the nurse the need for additional teaching? Teaching about a medication Which of the following items should the nurse include on the lunch tray? 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. a. 5. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. A client with atrial fibrillation currently on a diltiazem drip. 2. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. Show client who has conjunctivitis how to clean the eyes. a. Hypotension Could you try contacting a support group 2. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. 1. An experienced person who can research "best practice" regarding the issue is needed. Remember airway, breathing and circulation (ABCs). 2. d. Voided 30 mL frequently The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. 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. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet a. Bathe a client who had an amputation 2 days ago Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? This can prevent harm to client's. A nurse is caring for a client who is immobile. The client is considered unstable until assessed by the nurse. A nurse is creating a discharge plan. Feed the client after warming the food. 1. c. They tend to use more verbal communication Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. (Select all that apply.) The nurse is using which level of communication at this time? Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? A nurse is caring for a client who has a hip fracture that requires surgical repair. 2. The nurse is responsible for the assessment of all vital signs of post-op clients. 1. Electric cords behind the furnitrure 1. Send a day's worth of medications with the client to the receiving facility. Now, in Option #2, we see a dangerous prescription. c. Hallucinations at the onset of sleep, 65. Solved 4. A charge nurse is making client care assignments. | Chegg.com Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. c. Contact Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? Have a pen and paper handy Which client would be appropriate for the RN to assign to the LPN? 3. a. c. Providing anticipatory guidance to a client in crisis Sit side-by-side with the client Incorrect: This prescription is written correctly. c. I will make sure my visitors smoke outside & 5. 3. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? 4. A nurse is caring for an older client who is at risk for skin breakdown. Use the tablet's packaging to pick it up from the counter What is the most appropriate action by the charge nurse? Determining the client's length of stay Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. 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. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Four clients arrive for their appointment at a diabetic clinic. 4. The nursing supervisor may be able to assist with client care until another nurse can come in to work. b. Verbalize understanding of how the client feels a. Which of the following statements should the nurse identify as an indication that the client understands the discharge information? 3. 4. 3. 4. e. Feed a client who had a stroke 3 months ago, 31. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 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. The provider must renew a restraint prescription every 8 hr. The LPN should refuse the intervention. c. Shivering This action is a defensive intervention, and does not address the quarrelsome behavior. Client eating a simple-carb snack due to weakness. Witness the client's signature 1. d. Do you think crying will help? Which of the following infection-control precautions should the nurse use caring for this client? Transfer essential medical record to the receiving facility. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? b. b. 3. The charge nurse is planning assignments on a medical unit Which client 2. 5. a. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. 2. 1. b. Select all that apply 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. A nurse is assessing a client who is experiencing prostatic hypertrophy. 76. 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. 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 . Relief of urinary retention a. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 10. Normally, red blood cells are flexible and round, moving easily through blood vessels. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. c. Document in the client's medical record that she completed an incident report There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. Which client should be assigned to the most experienced nurse? However, providing care for missing teeth would also be within the LPN scope of practice. b. b. I will bear the weight of my body on my hands A nurse is preparing to obtain a blood specimen from a client by venipuncture. Feed a client that had a stroke 3 months ago. A goal for this client is to use proper body mechanics at all times. 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. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. A nurse has just finished a wound irrigation for a client who requires contact precautions. 1., 3, & 4. b. Which task would be appropriate for the nurse to assign to an LPN/VN? Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. 3. 3. c. Washes and rinses her hands for 10 seconds Left upper forearm 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. This is a task that can be delegated to the LPN/LVN. Pernicious Anemia Society Administering IV pain medication to a two day post op client. 4. 3. Incorrect: The nurse is responsible for evaluating a client. The nurse should perform which of the following activities in this space? The nurse has just completed a 12 hour shift. a. A nurse enters an older adult client's room to insert a saline lock. c. Hallucinations at the onset of sleep 1. a. 3. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. This could indicate a worsening of this client's condition. a. I will keep spare crutch tips handy 1. It is not a routine task. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Which of the following tasks should the nurse delegate to AP? The situation should be explored before bringing the supervisor in on the situation. c. Lock the medication in a room and finish preparing it after returning from the emergency Select all that apply Write the letter of your choice on the answer line. Which of the following actions is an example of a violation of confidentiality? a. I'll apply ankle to my ankle today and tomorrow 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 a. Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. Only the state Board of Nursing can legally determine the LPN's scope of practice. If a sentence is already correct, write CCC. Speak using his usual tone of voice 1. d. Motor impairment, 84. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. 6. a. 2. c. Take the client to the bathroom every 2 hr ATI Leadership and Management Questions - Leadership Management of Care