Aplastic Anemia Support Group. 4. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. The best practice committee utilizes current research in their recommendations. 1. a.) 1. one of the licensed practical nurses Get the answers you need, now! b. 3. c. Request a tray without pork This includes medication enemas. This is outside the scope of practice for the LPN/LVN. 3. b. I will come back later and we can talk b. I will bear the weight of my body on my hands Invite staff to contribute ideas on scheduling changes. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). a. It also helps the client deal with issues that are important to him), 19. A nurse is completing discharge teaching with a client. Which task would be appropriate for the nurse to assign to an LPN/VN? 3. Hanging a new bag of total parenteral nutrition (TPN). Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. 4. Estimate the number of Calories in two tablespoons of peanut 3. c. Shivering (shivering is a systemic response to cold therapy as the body attempts to promote heat production), 77. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? 2. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". 1. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. 55. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. Select all that apply During exacerbation, the client will have many diarrhea stools. Which of the following actions should the nurse take? A nurse instructs a female client about collecting a midstream urine sample. 3. b. 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. Which of the following actions should the nurse take? 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 statements should the nurse identify as an indication that the client needs further teaching? Assign more daily tasks to the UAP. The third client would be the one needing a dressing change. The nurse should initiate a referral with which of the following members of the interprofessional health care team? An adult (18 years or older) can create an advanced directive. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. c. Shivering Those residing in long term care facilities benefit greatly from time spent with family or even older friends. Use adult diapers to prevent frequent clothing changes Checking capillary refill beneath the client's fingernail A nurse is administering a cold therapy application to a client. The last client would be the one needing dietary education. The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. 3. d. When asking if the client took his medications this morning, 82. Which of the following tasks should the nurse delegate to assistive personnel (AP)? Remove all metal necklaces Which of the following actions should the nurse take? 4. This is likely cholelithiasis, which will need to be checked out. 1., 2., 4., & 5. The cause of the fall may be cardiac, but the question does not indicate this. b. 4. 2. 3. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? A nurse is teaching a client who has a history of falls about home safety. Provides safe, effective delivery of patient care in . b. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. 3. e. an open perineal wound, 92. The surgeon initially prescribes a clear liquid diet. 4. a. Removing the abdominal dressing a. 4. Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. Briefly assess every client. b. b. 3. The expected standard of care was strict bed rest), 96. Announce the new changes at the monthly staff meeting. c. Use intermittent eye contact Select all that apply 2. Remind the client to tell the nurse when he has to urinate Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. 1 Measure urine output when client voids. a. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. a. 2. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. a. I'll urinate a little then stop d. The nurse has already considered alternatives to restraints, a. 1. Place the client in a lateral position Convenience for the nursing staff or the client's family b. A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. 2. What should the nurse do first? Select all that apply d. Explain oral hygiene to a client receiving chemo Gathering needed equipment and supplies is within the scope of duties for the UAP. Currently, your census is 11, with one empty bed. 1. b. Ask client if they are eating small, frequent meals. a. 212 An experienced person who can research "best practice" regarding the issue is needed. A nurse is caring for a client who states, "I have got to get out of this hospital! Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? I am feeling much better since my discharge from the hospital and I think my kidneys are working again." 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? Evaluate pain relief after narcotic administration. 2., 3. d. principal. Select all that apply December 5, 2020. 3. 3. This would be out of the UAP's scope of practice. 3. c. Physical therapist a. b. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. Correct: Disconnecting NG tube suction is an appropriate task for the UAP. d. Lean back in the chair, b. Include any relevant statements the client made about the ulcer, 64. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Which of the following client statements indicates an understanding of the procedure? Which group of clients should she assign to the medical surgical nurse? Call the client's provider 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). Right forearm 4. A nurse is caring for a client within the intimate zone of the client's personal space. 4. Client with cast to right leg requiring pain medication. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. 5. Which of the following responses should the nurse make? 4. 4. Showing disapproval When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? The nurse prefers to check all vital signs on all clients. 2. Which of the following tasks should the nurse delegate to unlicensed assistive personnel (UAP)? b. Which of the following actions should the nurse take regarding informed consent? 1. c. Leave a nightlight on in the client's room a. The nurse is responsible for the assessment of all vital signs of post-op clients. b. a. Auscultating heart sounds Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. A home health nurse is conducting a home safety assessment for an older adult client. 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. Talk to each nurse about concerns related to assigned clients. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. 2. During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. Client scheduled for a dressing change to foot ulcer. Based on these findings, to which of the following providers should the nurse request a referral for the client? Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. d. Place the tablet directly into a medication cup, 36. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. A nurse has just finished a wound irrigation for a client who requires contact precautions. 4. The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data. What task would be best to assign to the LPN/LVN? Which of the following findings should the nurse identify as a safety risk? The nurse did not trust the new UAP. a. A nurse is preparing medication for a client when another client has an emergency. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines. I'm drinking plenty of fluids." 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. 4. Allow families unlimited visitation around the clock to meet their schedules. 1. 2. d. Sleep apnea A client requesting assistance packing his belongings for discharge later today.. Allow the UAP to work without supervision. Which of the following types of communication breakdown does this response represent? 2. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. c. Initiate a liquid diet for the client 3. Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. 10. e. Throw rugs, 40. Serve food that have a hot/cold balance This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. Risperidone .5 mg PO daily 3. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. 4. 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. b. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Aplastic anemia is a rare but serious condition. Point out inconsistences in the client's behavior Which of the following RNs should not be assigned to this baby? 5. 4. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. Drag and Drop the items from one box to the other. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. Which of the following client statements should indicate to the nurse the need for additional teaching? The client states, "I'm feeling a bit nervous today." Teaching about a medication 1. c. Helping the client into the shower 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). The nurse should do this when repositioning is needed. Take several shallow breaths during the procedure a. Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. 3. Encourage the client to use self-exploration A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. Correct: Did you notice the hint? a. 3. Speak to the UAP first and then decide if a between meal supplement is needed. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. e. Feed a client who had a stroke 3 months ago, 32. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". 3. (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. d. Arguing, a. I'll apply ankle to my ankle today and tomorrow (the RICE acronym outlines how to treat an ankle sprain: rest, ice, compression, elevation), 16. 3. 1. Have another nurse guard the medication preparations until the nurse returns 6. This referral would be appropriate. This determination is needed to assure client safety is being considered. Discuss the issue with the leader of the "best practices" committee. 3. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. Select all that apply. Dr. Frankenstein had seen himself as a(n) ?\underline{? For which of the following actions should the nurse intervene? The client is apparently stable and does not require any advanced assessment skills or specialized care. Occupational therapist Battery c. Consensus evolves in this stage There are a total of 10 adult clients. These individuals are selected by the charge nurse, and do not have to be nurses. c. I should purchase a carbon monoxide detector for my home Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. Determine which personnel could be sent to the command center. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). c. imaginary 3. c. Measurement of residual urine after urination In what order should the nurse assess assigned clients following shift report? Symbolic communication a. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. b. Pain e. Dysuria, 49. The nurse is using which level of communication at this time? Describe the types of machining operations that can be performed on a lathe. A client receiving a blood transfusion that requires monitoring. The RN who has worked in Labor and Delivery would have knowledge and experience caring for clients with preeclampsia. Remember airway, breathing and circulation (ABCs). Show client who has conjunctivitis how to clean the eyes. 4. d. Routine acquisition of a urine specimen Cardiac catheterization with a decreased pedal pulse below insertion site. 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. Assist a client to ambulate using a gait belt. This client is at a high risk of infection. 2. Client admitted 48 hours ago with an ischemic stroke and a history of seizures, who has been prescribed clonazepam. Correct. 3. 1. Which actions should be instituted by each unit's charge nurse? Providing a passive response b. Autonomy vs shame and doubt The spouse can rescind the Advance Directive if the client becomes unresponsive. A charge nurse is planning client activities for the day. Select all that apply 4. Client eating a simple-carb snack due to weakness. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? American Sickle Cell Anemia Association A goal for this client is to use proper body mechanics at all times. What was the hint? c. Washes and rinses her hands for 10 seconds 2. When staff do not feel vested in any new process, there is a sense of underappreciation. a. c. Complete an incident report The nurse considers various ideas submitted by team members. b. 2. Correct: Hot water may damage dentures so intervention is needed. Which clients should be assigned to the CNA? d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37. Changing a colostomy bag. There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. Photo comes from the Greek word for light. Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. 3. Which of the following items should the nurse include on the lunch tray? A new UAP is efficiently completing all daily assignments accurately and in a timely manner. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? What action should the nurse take after mistakenly administering the wrong medication? 1. The third client that should be sent back for treatment is the female client stating she has been raped. Alert all off-duty personnel to stand by in case of call- in. 3. The RN with 10 years' experience pulled from the ER. Besides yourself, there are the following staff: Your unit has 12 beds. Give magnesium citrate 296 mL at 3 PM today. A lack of rapid eye movement (REM) sleep What is the best first action for the nurse to take in order to achieve this goal? A nurse is planning to discharge a client who has quadriplegia to his home. e. Talking with the client's partner, 79. d. Droplet, d. Bend at the knees when picking up an object, 98. 2. 2. d. Wait to discuss the behavior in the presence of others, a. 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. A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. (Select all that apply) Provides day to day direction and supervision to assigned direct patient care staff. Which action by an unlicensed nursing assistant would require the nurse to intervene? d. Social conversation, a. Which client should the nurse assess first? This is a task that can be delegated to the LPN/LVN. Lisinopril 20.0 mg PO daily Documentation of what occurred, and the client's assessment is required in the nurse's notes. 4. d. I shouldn't advice you about what is ultimately a personal decision, b. A nurse just back from maternity leave. The nurse should base her pain management interventions primarily on which of the following methods of determining intensity of the client's pain? c. Open the right flap with the left hand Which clients could be assigned to an LPN? Which of the following statements should the nurse make? c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures 4. b. Incorrect: Moistening the dentures will ease insertion. 3. a. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? Which of the following of Erikson's developmental stages should the nurse consider in the planning? 3. b. Summarization What is the major histological difference between thick and thin skin? 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. This client can wait until the others are treated. Which of the following tasks should the nurse delegate to assistive personnel (AP)? 3. Which of the following findings associated with urinary retention should the nurse expect? Identify and assess each incoming client. Airborne 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. A person can be designated to make medical decision in the event the client cannot. 1. 2. 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. The reason for the UAP not feeding the client needs to be determined. 1. Monitor client for pain while assisting with ambulation. Provide an adaptive feeding device for the client, 50. A client post pacemaker insertion, awaiting discharge instructions. c. Industry vs inferiority 4. 1. Use the tablet's packaging to pick it up from the counter 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. A client receives a wrong medication. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. A nurse who is breastfeeding her 4 month old. a. Which of the following responses should the nurse make? Which client should the nurse see first? Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations.
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