d. What have you done in the past to cope with this issue? Identify and assess each incoming client. Select all that apply There is a possibility that a hypothermia blanket may be prescribed. The surgeon initially prescribes a clear liquid diet. Encourage client to express grief related to loss of independence. 2. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. a. Respite care allows the primary caregiver time away from day-to-day care responsibilities Risperidone .5 mg PO daily Which client should be assigned to the most experienced nurse? c. Initiate a liquid diet for the client Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. The report should contain consequences. Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. 212 Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. Focus on the client's present circumstances instead of his personal stories Aplastic anemia is a rare but serious condition. Autonomy vs shame and doubt a. 4., & 5. 3. A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. b. I'll use the cleansing wipes from the front to back c. Providing anticipatory guidance to a client in crisis b. The nurse should do this when repositioning is needed. c. Behaving defensively a. I wish I didn't have to attach the electrodes to my skin What would the approximate meaning of photoelectric be, based on these root words? 4. 2. d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. Taking the report from the ED could be delayed but is a courtesy to the ED and will provide information about the client that will be useful in making assignments for the next shift. a. d. Lean back in the chair, b. d. Reduced blood viscosity, a. Auscultating heart sounds e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. 4. The charge nurse should notify the nursing supervisor who will seek additional staff. 4. Correct: The UAP can remind the client to do something that has already been taught by the nurse. Even though this nurse just had a baby, there is no risk of her transmitting this virus to her child. (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. 3. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. 1. a. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. Which of the following is the priority action by the nurse? A client requesting assistance packing his belongings for discharge later today., As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 2. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. The RN with 10 years' experience pulled from the ER. 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 client states, "I'm feeling a bit nervous today." A nurse is admitting a client who has a partial hearing loss. e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. d. I shouldn't advice you about what is ultimately a personal decision, b. Elderly client admitted 30 minutes ago with reports of constipation for four days. What proposal would the nurse determine to best meet the needs of families and clients in long term care? 2. Which of the following approaches should the nurse use when using confrontation? Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. d. Wait to discuss the behavior in the presence of others, a. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. Which of the following nontherapeutic communication techniques is the nurse using? Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. Which pediatric client care assignment is most appropriate for the charge nurse to delegate to the LPN/LVN? Incorrect: This client is exhibiting early signs of increased intracranial pressure. Place in priority order. They have found my address and are coming for my family!" c. Discard the tablet and obtain another dose of medication A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. 1. b. Twist at the waist when she moves an object to one side 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. The nurse prefers to check all vital signs on all clients. Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. Besides, a charge nurse is a leader on the floor and should possess . a. 2. An LPN/VN has been floated to the emergency room following a chemical plant explosion. This can prevent harm to client's. 3. 4. 1. Try different methods of oral care on unresponsive clients to see what works best. Ask client if they are eating small, frequent meals. This is an elderly client who is a new admit. The nurse asks why the client needs to know this. 1. It is within the LPNs scope of practice to administer antibiotics. 1. Moistening the dentures prior to inserting them 2. Drag and Drop the items from one box to the other. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. c. I'll need to shave the hair off the skin where I place the electrodes Dr. Frankenstein had seen himself as a(n) ?\underline{? There is a trailing zero after the prescribed dose. D. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). e. an open perineal wound, 92. A practical guide to making patient assignments in acute care Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER This client is not the nurse's first priority. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. Licenced practical nurses are a little less educated than registered nurses. Charge nurses have integral roles in healthcare organizations. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. A nurse is assessing a client who is experiencing prostatic hypertrophy. b. I will call the doctor and get the prescription c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). a. 2. Right forearm Complete a client assignment sheet for the oncoming staff. 3. The nurse suggest that the family might need to respite care services. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" Placing the traction weights on the bed to transfer the client to x-ray. There will likely be both physical and emotional injury that needs attention, which places this client third. b. e. Suctioning a client's new tracheostomy tube, d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 94. This could indicate a worsening of this client's condition. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. 3. But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. Schedule visiting times in two-hour increments so clients are not overwhelmed. c. Raised toilet seats Assist a client to ambulate using a gait belt. 5. 1. 5. A nurse is implementing direct nursing care for a group of clients in an acute care facility. 3. This is a task that can be delegated to the LPN/LVN. Client who has multiple injuries from a motor vehicle accident. 2. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. 3. A nurse is assessing a client who has narcolepsy. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. 3. Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. 2. The charge nurse is making client assignments for a neuro-medical floor. Send a day's worth of medications with the client to the receiving facility. The nurse is caring for four clients. Notify the primary healthcare provider. The infusion rate has stopped but the tubing is not kinked You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. 1. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. Which of the following actions should the nurse include in the plan? Flashcards - chapter 7 - FreezingBlue Monitor for behavioral changes. Witness the client's signature Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. 1. Which of the following instructions should the nurse include? Correct: If suspicious behavior occurs, it is important to keep careful, objective records. A nurse is engaging in relationship counseling with a male client. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. 3. Which of the following actions should the nurse take? A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. A nurse who is breastfeeding her 4 month old. 2. a. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. A nurse is preparing a sterile field. b. Battery The stem does not indicate any loss of neurological function resulting from the seizure activity. 5. It is not a routine task. Rewrite each incorrect sentence to correct the error. 4. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." Which of the following tasks should the nurse delegate to AP? b. 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. b. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. The client was lying on the floor next to his bed 3. 3. Draining the colostomy bag on a client with diarrhea. c. I'll bear weight on my ankle for 10 minutes every hour c. I should purchase a carbon monoxide detector for my home c. Document in the client's medical record that she completed an incident report Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. Which actions should be instituted by each unit's charge nurse? Therefore, this client would not be a priority over a client who may be experiencing a MI. (c) Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108\mathrm{Ba}^{2+}(a q)+\mathrm{CO}_3^{2-}(a q) \longrightarrow \mathrm{BaCO}_3(s) ; K=3.8 \times 10^8Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108 1. Elevating the head of the bed 30- 40 for the client post thoracotomy Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. 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. Keep a personal copy of this documentation, provide a copy to the immediate supervisor, and send a copy to the Local Unit Officer. c. I will inspect my crutches everyday for signs of wear 3. The first vital sign check was performed by the nurse. What is the best first action for the nurse to take in order to achieve this goal? PDF 8 steps for making effective nurse-patient assignments 1. Which of the following info should the nurse include? The charge nurse is planning assignments on a medical unit Which client A goal for this client is to use proper body mechanics at all times. Removing the abdominal dressing It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility nurse in order to support continuity of care. a. 4. Remind the client to tell the nurse when he has to urinate This includes medication enemas. 4. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Review a low-sodium diet for a client with hypertension. c. Discard any residual gastric contents What options would be appropriate for the nurse to take? Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. b. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. A nurse is creating a discharge plan.
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