A. Transporting a client who experienced a stroke 72 hr ago to the radiology department c. Hand-off technique Complete blockage of the large intestine. b. d. Services are centered in long-term care facilities, a. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. The nurse has just completed a 12 hour shift. 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 explanations should the nurse provide? A nurse is caring for a client who has emphysema and has difficulty with mobility. a charge nurse is making client care assignments for the day. A client who is disoriented and awaiting transfer to a long-term care facility. A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. Turn on local news for up-to-date information on the train derailment. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. 4. Which region of the tRNA pairs with mRNA? A client with diabetes admitted for debridement of a foot ulcer. Notify the primary healthcare provider of transfer completion. This client should report an improved respiratory, not shortness of breath. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. The nurse should not assume that the UAP just did not do their job, but needs to ascertain the reason for not feeding the client. b. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. A nurse is assessing a client who is experiencing prostatic hypertrophy. a. What action should the nurse take after mistakenly administering the wrong medication? Incorrect: The nurse is responsible for evaluating a client. Which of the following approaches should the nurse use when using confrontation? A nurse is caring for an older client who is at risk for skin breakdown. c. Shivering Incorrect: Informing is the same thing as teaching. This determination is needed to assure client safety is being considered. Receive report from the emergency department (ED) on a new client. Evaluate client's safety risk factors. This can prevent harm to client's. Inform the client of the need to avoid irritants such as carbonated beverages. 2. 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. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. There will likely be both physical and emotional injury that needs attention, which places this client third. This is an appropriate prescription. A nurse is admitting a client who has a partial hearing loss. 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. 1. However, there are some basic points which are standard among all facilities. Have another nurse guard the medication preparations until the nurse returns Report of feeling pressure Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. Plan all care to be completed in early morning to allow afternoon for visitation. The nurse is reviewing some clients' prescriptions. Electric cords behind the furnitrure The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). a. a. Which of the following info should the nurse include? Perform range of motion (ROM) exercises at least 2-3 times daily The client is considered unstable until assessed by the nurse. c. Include intact skin at the wound edges in the culture Anyone over age 18 can have an Advanced directive. a. In the following sentences, circle each incorrectly used lowercase letter. The nurse is using which of the following therapeutic communication techniques? a. The abdominal pain is worsening. Ask client if they are eating small, frequent meals. Which of the following statements should the nurse identify as an indication the client needs further teaching? c. Use an aggressive tone of voice b. Gather supplies to prepare room for isolation. 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. It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. A charge nurse is making client care assignments. Which of the following findings should the nurse identify as a safety risk? Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. a. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). 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. Which action should the nurse interrupt the UAP from performing? They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. 55. 1. c. Decreased sodium excretion Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. b. I will try to anticipate and avoid stressful situations when possible 2. Which clients could be assigned to an LPN? b. Numbness a. b. 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. c. I will complete the smoking cessation program I started Increased insulin production 4. c. I'll clean the inside of the container with a wipe The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Assign more daily tasks to the UAP. A nurse is caring for a client who is postoperative following an appendectomy. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. 2. No! The nurse should initiate a referral with which of the following members of the interprofessional health care team? This stage is when testing occurs to identify boundaries of interpersonal behaviors Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. Pick up the tray and tell the UAP that they didn't do a good job. (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 A nurse is caring for an older adult client who has a fractured hip and will require rehab care. 1. A nurse is providing care to a client who is on strict bed rest following surgery. Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list., 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). Which response by the LPN is appropriate in response to the inappropriate delegation? What is the primary factor for the charge nurse to consider when delegating care? Teaching insulin self administration cannot be delegated to the LPN. d. Expect minor discomfort after the procedure, b. I will come back later and we can talk (offers herself to client which encourages open communication). Incorrect: Although this nurse may be accustomed to caring for clients in acute situations requiring a higher level of care, this nurse is not familiar with caring for clients with preeclampsia. The client then states, "I have changed my mind and do not want to have the procedure done." 4. 4., & 5. b. 3.
NUR 212 Patient assignments.docx - M2.4: Making Client Care What is the best care assignment for this client? d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. Which of the following actions should the nurse take? Collecting I & O totals for unit clients at the end of shift. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. This would be out of the UAP's scope of practice. b. 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. 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? A nurse is caring for a client who is scheduled for an elective surgical procedure. Select all that apply. The LPN/LVN can reinforce teaching. e. Talking with the client's partner, 79. b. Urinary frequency for several days 2. c. I'll bear weight on my ankle for 10 minutes every hour b. Which client can be assigned to the LPN? 2. The area surrounding the insertion site feels warm to the touch, 61. 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. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding). 2. Even though the client is a child, superficial burns require only dry sterile dressings and possibly oral pain medication, both tasks which are within the scope of practice for an LPN. The nurse cannot allow the UAP to perform advanced tasks. Right forearm The healthcare team should recognize the client as the center of the team. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. Everything will be okay 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. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. 3. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? The charge nurse on the postpartum unit is making assignments. 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. 1. Select all that apply Documentation of what occurred, and the client's assessment is required in the nurse's notes. Once the client is stable, the UAP could perform this task. A client receiving heparin injections for deep vein thrombosis. c. Offering false reassurance a. Broth The client reports constipation for 4 days which may be an indication of worse problems. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? The assignment process requires constant evaluation and reevaluation of information and priorities. Ask the charge nurse to evaluate the intervention. 1. a. b. Summarization Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. -Review a low-sodium diet for a client who has HTN A person can be designated to make medical decision in the event the client cannot. The provider must renew a restraint prescription every 8 hr. 3. American Sickle Cell Anemia Association Elderly client admitted 30 minutes ago with reports of constipation for four days. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. Reporting laboratory findings to a member of the client's family A client has been admitted with folic acid deficiency anemia. Which of the following findings indicates that the client is meeting this goal? It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. Dentures should be stored in a denture cup. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? a. Bathe a client who had an amputation 2 days ago a. Auscultate breath should at least ever 2 hr Assist a client to ambulate using a gait belt The nurse on a large surgical unit needs to evaluate several clients returning from procedures. 3. This is an elderly client who is a new admit. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) This client is eating a simple carb snack, but the nurse needs to check the client's blood glucose level to see if the snack has helped. A nurse has just finished a wound irrigation for a client who requires contact precautions. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). A nurse receives a client care assignment from the charge nurse that he believes is unfair. Lisinopril 20.0 mg PO daily 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. The RN with 2 weeks' experience on the postpartum unit. Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. Only a plain enema or soap enema can be given by the UAP. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. This client needs careful monitoring and specialized care. Which of the following statements should the nurse identify as an indication that the client needs further instruction? A nurse is teaching a client about the physical effects of chemotherapy. d. I shouldn't advice you about what is ultimately a personal decision, b. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. This protein is released by cells in the stomach. 4. b. A nurse is discussing the norming stage of the group development process with a student nurse. The nurse who made the medication error should take which of the following actions first? 4. Which nurse should be assigned to care for this client?
A Charge Nurse Role: The Ultimate Guide. 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. Select all that apply. d. Counting radial pulse d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. Changing a colostomy bag. Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. Which of the following tasks should the nurse delegate to assistive personnel (AP)? 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. 1. It is not a routine task. Provide an adaptive feeding device for the client You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. Hanging a new bag of total parenteral nutrition (TPN). 2. 1., 4., & 5. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. Which of the following client statements should indicate to the nurse the need for additional teaching? b. I'll use the cleansing wipes from the front to back Assigning blame for the changes to administration will not help staff adjust. Start MgSO4 at 3g/hr IV 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. c. Review the client's progress toward personal objectives This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. Education The nurse did not trust the new UAP. Rewrite each incorrect sentence to correct the error. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. The nurse prefers to check all vital signs on all clients. A client with epilepsy reporting an odd smell in the room. Warm the feeding solution to the body temperature 1., 2., 3., & 4. a. I'll urinate a little then stop Allow families unlimited visitation around the clock to meet their schedules. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. Which of the following sites should the nurse plan to use to obtain the blood specimen? Splitting the overtime shift is an acceptable option that the nurse could suggest in order to solve the staffing problem and decrease the amount of time the nurse will be working. 3. Furosemide 40 mg PO q.d. 4. 5. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. Which clients would be appropriate assignments for the LPN/LVN? Correct: If suspicious behavior occurs, it is important to keep careful, objective records. Nurses dependent on drugs or alcohol can harm clients. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. Monitor for behavioral changes. The client should be assessed first to rule out respiratory difficulty and hemorrhage. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. c. Consensus evolves in this stage Who should the nurse see first? Which group of clients should she assign to the medical surgical nurse? A client requesting assistance packing his belongings for discharge later today., Based on these findings, to which of the following providers should the nurse request a referral for the client? 3. The nurse would then start the 24 hour urine once the 1st void has been discarded. 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. What task would be best to assign to the LPN/LVN? An adolescent client post appendectomy reporting pain. Allow the UAP to work without supervision. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. c. Leave a nightlight on in the client's room 5. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). 2. If a sentence is already correct, write CCC. a. A nurse is caring for a client who is immobile. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. 4. Respite care allows the primary caregiver time away from day-to-day care responsibilities 4. 4. c. Behaving defensively 3. What was the rationale for this plan? There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. A nurse is preparing medication for a client when another client has an emergency. 1. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. b. b. Irrigate the NG tube with 100 mL of sterile water d. Request a prescription for an indwelling urinary catheter, c. I will begin upon the client's admission to the facility (effective discharge planning must begin upon admission of the client to the facility), 60. Encourage the client to be more cooperative. a. Notify clients that the disaster plan has been put into effect. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? d. Proceed with the preparation of the patient's surgical procedure, 15. a. This could indicate a worsening of this client's condition. This schedule may leave some clients too exhausted to visit with family. 1., 2., 3., & 4. b. a. c. Palpating for pedal edema Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. For which of the following tasks should the nurse wear protective eye equipment. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. 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. 1. 1. The charge nurse is making client assignments for a neuro-medical floor. I'm drinking plenty of fluids." Prospectors are considering searching for gold on a plot of land that contains 1.31g1.31 \mathrm{~g}1.31g of gold per bucket of soil. 2. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. The client's self-report of pain severity, 88. Speak to the UAP to determine what happened with the feeding. Select all that apply. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. & 3.
he charge nurse is making client care assignments for the evening shift one of the licensed practical nurses Get the answers you need, now! Client prescribed antibiotics for cystitis. A nurse caring for a client is using active listening skills. Select all that apply 1. The RN with 10 years' experience pulled from the ER. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. 3. (Select all that apply.) A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. 1., 3, & 4. Therefore, this would not be the most appropriate nurse to assign to this client. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. a. d. I will begin once the client's insurance company approves discharge coverage, b. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". 3. b. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. a. c. One nurse lifting the client's legs as the client uses a trapeze bar d. Talk with the client's partner, b. Incorrect: The nurse can measure vital signs; however, agency policy usually states that UAP can perform this task also. a. In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment.
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