a charge nurse is making client care assignments

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 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). Simply accept the assignment since overtime is mandatory. C. Review a low-sodium diet for a client who has hypertension. The client would develop severe cramping. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Provide positive feedback to the UAP. Review a low-sodium diet for a client who has hypertension. This would be out of the UAP's scope of practice. c. Review a low-sodium diet for the client who has hypertension The below statement corresponds to a numbered sentence in the passage. What action should the nurse implement first to ensure client safety? b. The infusion rate has stopped but the tubing is not kinked It contains a blank and is followed by four answer choices. Cardiac catheterization with a decreased pedal pulse below insertion site. 3. 2. Incorrect: This prescription is written correctly. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. If you are new to this challenge, try these eight tips as a guide for making nurse-patient assignments. What task would be best to assign to the LPN/LVN? d. Explain oral hygiene to a client receiving chemo 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. b. and 16 g of fat. Client diagnosed with inoperative brain tumor who is confused. 2. A home health nurse is conducting a home safety assessment for an older adult client. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. The nurse chooses to confront the client. Remind the client to avoid tight fitting clothes. The nurse could definitely be part of the committee. 4. There are a total of 10 adult clients. Monitor client for pain while assisting with ambulation. The nurse also needs to be aware of the color and amount of urine voided. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. Feed the client after warming the food. Initiate oxygen and IV lines as needed. 1. 1. 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? Which of the following statements should the nurse identify as an indication that the client needs further instruction? Make referrals to community services. Moistening the dentures prior to inserting them A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. This could indicate a worsening of this client's condition. d. Anger, b. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. a. I'll urinate a little then stop A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. b. I'll rewrap my ankle starting from the knee down Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. Thoracentesis reporting shortness of breath. 2. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). c. Distended bladder Incorrect: While it is true that the nurse manager is ultimately responsible for implementing and announcing new schedule changes, doing so without any staff input can create discontent in the work environment. Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. This item: Nursing Brain Sheet Multiple Patient Notebook - Nurse and CNA Report Sheet - 3 Patients per Template $1999 BadgeGuru by Tribe RN - 52 Cheat Sheets on 26 Nurse Badge Cards - Designed by Nurses, for Nurses - Essential for Nurses and Nursing Students - Bonus Access to Our Digital Resource Library - Inverted $1997 ($0. d. Custard The nurse did not trust the new UAP. 2. b. b. Client one day post kidney transplant. 3. 3. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. Receive report from the emergency department (ED) on a new client. We do not know the extent of her injuries based on what the option tells us. Review the action of insulin therapy 1. Client prescribed antibiotics for cystitis. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. 4. Which of the following is the priority action by the nurse? Stand directly in front of the client 4. Gather and apply dressings to open wounds. Notify the board of nursing (BON) that the float nurse is an alcoholic. Incorrect: Is phantom pain something that is unexpected with above the knee amputations? Which clients would be appropriate assignments for the LPN/LVN? Speak to the UAP to determine what happened with the feeding. 4. Dentures should be stored in a denture cup. d. Highly concentrated urine, 91. A client requesting assistance packing his belongings for discharge later today.. Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. b. & 6. D. What task would be best to assign to the LPN/LVN? Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. 1. The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. 3. 3. To focus on effective learning with this client, which of the following interventions should the nurse use? Administering IV pain medication to a two day post op client. Provide an adaptive feeding device for the client Select all that apply Administer sodium polystyrene sulfonate enema. c. Open the right flap with the left hand The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. 2. Which action by an unlicensed nursing assistant would require the nurse to intervene? 1., 4., & 5. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. 2. 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). a. They are likely to wait for others to initiate conversation Client with cast to right leg requiring pain medication. Currently, your census is 11, with one empty bed. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 1. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. 3. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. 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. Relax her abdominal muscles when she lifts an object 1. *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. The nurse is planning care for a client admitted with Alzheimer's Disease. a. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. This stage involves constructive efforts on the part of the group members Refuse the overtime assignment, being prepared for disciplinary action. 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. Besides, a charge nurse is a leader on the floor and should possess . What proposal would the nurse determine to best meet the needs of families and clients in long term care? d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) 3. c. Shivering This client can wait until the others are treated. d. Mask, 83. c. Discard any residual gastric contents Which of the following actions is the nurse's priority? Ambulating a client who is 2 days post vaginal hysterectomy Decide which choice fits best in the blank. Underline the adjective clause in each sentence. Relief of urinary retention A new UAP is efficiently completing all daily assignments accurately and in a timely manner. d. Places clean linen that touched the floor in the soiled linen bag, d. Decreased calcium excretion (prolonged immobility leads to the breakdown of bone tissue; result is decreased calcium excretion), 26. To which of the following rooms should the nurse assign the client? 2. a. Incorrect: Although this action appears to be opening lines of communication, the nurse manager is actually fostering animosity in a situation where the outcome is already predetermined. Draining the colostomy bag on a client with diarrhea. 1. This is a diabetic clinic. Notify the primary healthcare provider of transfer completion. Client who has multiple injuries from a motor vehicle accident. b. eminent If a sentence is already correct, write CCC. Select all that apply Explore the client's feelings Notify the nursing supervisor of the situation. 2. Which clients should be assigned to the CNA? Phone report to the receiving nurse. The nursing supervisor may be able to assist with client care until another nurse can come in to work. What is the best first action for the nurse to take in order to achieve this goal? Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. Convenience for the nursing staff or the client's family Which of the following statements should the nurse make? Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. Who should the nurse see first? d. Droplet, d. Bend at the knees when picking up an object, 98. Correct: Did you notice the hint? Incorrect. Show client who has conjunctivitis how to clean the eyes. 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. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. 2. a. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. Correct: An LPN should be assigned clients with predictable outcomes. Invite staff to contribute ideas on scheduling changes. A list of current medications is sent to the facility. 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. Gather supplies to prepare room for isolation. Nurses Report Sheet Template Nicu. 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. The client's self-report of pain severity, 88. Document what the nurse believes was the cause of the ulcer development 3. Identify and assess each incoming client. Assist a client to ambulate using a gait belt A. Placing a washcloth in the bathroom sink prior to cleaning. c. Notify the nurse manager What was the hint? c. Hallucinations at the onset of sleep b. 1. b. I will call the doctor and get the prescription d. Remove tea and coffee from meal trays, b. A nurse is orienting a new assistive personal (AP) to the unit. a. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). Risperidone .5 mg PO daily 4. Right forearm Therefore, this client would not be a priority over a client who may be experiencing a MI. 3. one of the licensed practical nurses Get the answers you need, now! Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. A nurse is discussing the norming stage of the group development process with a student nurse. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). The charge nurse should notify the nursing supervisor who will seek additional staff. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. When asking the client about his receptiveness to the transfer Anyone over age 18 can have an Advanced directive. Which of the following statements should the nurse identify as an indication that the client understands the discharge information? Comatose client with end stage chronic obstructive pulmonary disease. the nurse responds: "It must be very frustrating to encounter this kind of attitude." a. I will wear gloves when removing food from the freezer b. Which of the following actions by the nurse is considered an indirect nursing care activity? A nurse is completing discharge teaching with a client. For which of the following actions should the nurse intervene? The client must understand the need for restraints Client scheduled for a dressing change to foot ulcer.