a charge nurse is making client care assignments
A client requesting assistance packing his belongings for discharge later today.. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Assign more daily tasks to the UAP. Client who is a diabetic experiencing diabetic neuropathy. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). 3. This client can wait until the others are treated. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. This protein is released by cells in the stomach. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. There are a total of 10 adult clients. a. b. The situation should be explored before bringing the supervisor in on the situation. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Remove all metal necklaces Injuries from a motor-vehicle accident can be life threatening. 4. Identify and assess each incoming client. a. I'll apply ankle to my ankle today and tomorrow Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. c. Behaving defensively c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). Based on the information provided in report, which client condition should be the nurse's priority? 1., 2., 3., & 4. Check environment for potential safety hazards. 2. A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. A nurse in a long-term care facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontinence. This service focuses on teaching the primary caregiver to meet the client's needs 4. The nurse is using which of the following therapeutic communication techniques? one of the licensed practical nurses Get the answers you need, now! 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. Encourage the client to use self-exploration Select all that apply Which tasks should the charge nurse delegate to the nursing assistant? Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. Following the teaching, the nurse asks the client to describe one physical effect. Have another nurse finish preparing the medications Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Besides yourself, there are the following staff: Your unit has 12 beds. A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. 4. 1. Correct: Talking to the nurses about client concerns and completing the client assignment sheet for oncoming staff will provide for a thorough shift change report. a. Bathtub with rails A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following instructions should the nurse include? 7. b. Wash the area of the puncture thoroughly with soap and water 1. 5. 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. Inform the client of the need to avoid irritants such as carbonated beverages. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. Gather and apply dressings to open wounds. 3. A nurse is caring for an older client who is at risk for skin breakdown. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Warm the feeding solution to the body temperature A client receives a wrong medication. a. Making client care assignments As the RN charge | Chegg.com b. Which of the following instructions should the nurse give to the client prior to the procedure? 3. b. Which of the following actions should the nurse take? This stage is when testing occurs to identify boundaries of interpersonal behaviors b. Numbness M4 Client Care Assignment.pdf - Making Client Care Reporting laboratory findings to a member of the client's family Which of the following instructions should the nurse include? Give magnesium citrate 296 mL at 3 PM today. Allow families unlimited visitation around the clock to meet their schedules. 4. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. In what order should the nurse see the clients? Elderly client who fell and fractured the left femoral neck. Pain 4. The facility has insurance that will cover malpractice litigation The client would develop severe cramping. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. leadership management of care nurse on unit is providing care for group of clients. 6. e. Feed a client who had a stroke 3 months ago, 31. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. Estimate the number of Calories in two tablespoons of peanut A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. Triage and assign color-coded tags to each client. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. c. Open the right flap with the left hand Assist a client to ambulate using a gait belt They are likely to wait for others to initiate conversation 5. 2. b. A charge nurse is making client care assignments. This client is stable and predictable. a. 4. A nurse is caring for a client who states, "I have got to get out of this hospital! The client post PEG placement is stable. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. 4. a. Stand directly in front of the client The other options may be correct but are not the best first action. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. The client asks the nurse, "Why do I need that? Charge nurses have integral roles in healthcare organizations. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. C-section planning discharge, postpartum infection, mastectomy. 2. 1. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. Besides, a charge nurse is a leader on the floor and should possess . This would be out of the UAP's scope of practice. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. The LPN should refuse the intervention. c. Holds the soiled linen against her body while carrying it to the linen bag Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. An experienced nurse would be assigned to this unstable client due to the possibility of a reoccurring hemorrhagic stroke resulting from the client's hypertension. Incorrect: Informing is the same thing as teaching. 1. Decreased or suppressed respiration are priority. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. Incorrect: The nurse cannot assign teaching to the UAP. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. 1. A nurse is working with an assistive personnel (AP) to c. I'll wear low heeled shoes from now on These are appropriate tasks for an UAP to complete. 2. c. Notify the nurse manager A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. Remind the client to avoid tight fitting clothes. b. Wash the tablet off with alcohol and place it in a clean medicine cup An adolescent client post appendectomy reporting pain. The area surrounding the insertion site feels warm to the touch Invite staff to contribute ideas on scheduling changes. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. The nurse should use close-ended questions when assessing which of the following factors? In option #4, we see that the leading zero is missing from the prescription. Collecting I & O totals for unit clients at the end of shift. 3. a. 2. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. A nurse is teaching a client about carbon monoxide poisoning. A nurse is caring for a client who has a mental health disorder. 4. Incorrect: This response overlooks a potentially severe problem. Relief of urinary retention Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? Underline the adjective clause in each sentence. 2. The last client would be the one needing dietary education. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. Explain administration is demanding a decreased overtime. Refuse the delegated intervention. b. Dr. Frankenstein had seen himself as a(n) ?\underline{? The nurse considers various ideas submitted by team members. & 6. 4. 3. 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. A nurse is teaching a client about the physical effects of chemotherapy. Which of the following actions is the priority for the nurse to include in the client's plan of care? A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following info should the nurse include? Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. Transfer essential medical record to the receiving facility. Thus, the tasks involve successful management of the charge nurse's responsibilities. 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? b. Assigning tasks to an AP d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. The nurse received a client following surgery 8 hours ago. d. Place the tablet directly into a medication cup, 36. 1. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. 4. A nurse receives a client care assignment from the charge nurse that he believes is unfair. Which of the following client statements indicates an understanding of the procedure? 2. The client can indicate desire for Do Not Resuscitate (DNR). INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. 2. 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. c. I'll bear weight on my ankle for 10 minutes every hour 2. Client scheduled for a dressing change to foot ulcer. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. 3. 4. b. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? b. The nurse is using which level of communication at this time? Vital sign measurement So, now you must decide which of these high priority clients should be seen in what order. This task cannot be delegated to the LPN/LVN. Denial A nurse asks a client to share personal stories. the nurse should delegate collection of which of the following specimens to DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia Maryville University The nurse did not trust the new UAP. Try different methods of oral care on unresponsive clients to see what works best. Initiative vs guilt A. 2. b. I'll rewrap my ankle starting from the knee down 1. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Which of the following methods should the nurse plan to use? Which of the following findings should the nurse identify as a safety risk? Determine which personnel could be sent to the command center. Following a large hurricane, multiple clients arrive at the emergency room for treatment. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? d. Voided 30 mL frequently, 48. Remember if you work overtime, fatigue is not a viable reason for a error and will not stand up in court. he charge nurse is making client care assignments for the evening shift c. I suggest you talk with a mental health counselor about your concerns Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Which of the following findings should the nurse expect? 4. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage 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. Select all that apply Document what the nurse believes was the cause of the ulcer development Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. Which of the following actions is the nurse's priority? c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day NUR 212 Patient assignments.docx - M2.4: Making Client Care This referral would be appropriate. Provides day to day direction and supervision to assigned direct patient care staff. Fruity breath. 4. Place the client in low Fowler's position Which of the following approaches should the nurse use when using confrontation? 1. 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. Which of the following actions should the nurse take? The infusion rate has stopped but the tubing is not kinked This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. NUR 112 Practice Assessment Flashcards | Quizlet 1. 4. a. Hypotension Turn on local news for up-to-date information on the train derailment. Which of the following info should the nurse include? Place in priority order. A nurse is caring for a client whose partner asks to speak with the nurse. 8. Which of the following actions should the nurse take? 1., 4., & 5. b. I'm so sorry to hear about this 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. The nurse should initiate a referral with which of the following members of the interprofessional health care team? 3. Which of the following indications should the nurse include? b. 3. 5. 5. Nothing by mouth (NPO). d. Remove tea and coffee from meal trays, b. The provider must renew a restraint prescription every 8 hr. 1. The charge nurse is planning the staff assignments for the clients on a neurological unit. 4. b. Incorrect: This client is exhibiting early signs of increased intracranial pressure. 5. Select all that apply. A nurse is performing care activities for a client in the zone of touch that requires his consent. b. Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. Therefore, measures should be instituted to reduce the risk of the development of an overwhelming infection and sepsis. Solved 4. A charge nurse is making client care assignments. | Chegg.com A nurse who is on hormone replacement therapy. NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. (a) HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010\mathrm{HCN}(a q)+\mathrm{H}_2 \mathrm{O}(l) \longrightarrow \mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{CN}^{-}(a q); K=4.9 \times 10^{-10}HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010 4. Therefore, this client would not be a priority over a client who may be experiencing a MI. Which of the following nontherapeutic communication techniques is the nurse using? Use the tablet's packaging to pick it up from the counter 1. Serve food that have a hot/cold balance Assist client to brush and floss teeth. 5. Which nurse should be assigned to care for this client? Solved 77. The nurse in a long-term care facility is making - Chegg A charge nurse is making client care assignments. 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. a. This is a task that can be delegated to the LPN/LVN. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. A nurse has completed an informed consent form with a client. e. Suctioning a client's new tracheostomy tube, 93. The charge nurse knows what client would be most appropriate for this LPN? Incorrect: There are situations in which the LPN must notify the primary healthcare provider. a. b. I'll do exercises that strengthen my abdominal muscles This client should report an improved respiratory, not shortness of breath. A nurse is engaging in relationship counseling with a male client. The nurse should assess the client for which of the following expected outcomes after catheter removal? c. Consensus evolves in this stage The nurse could definitely be part of the committee. a. I'll provide more stimulation in his environment and 16 g of fat. Delegate 2 nurses to work with the client. Assist a client to ambulate using a gait belt 3. 4. An experienced person who can research "best practice" regarding the issue is needed. 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. 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.