A newly hired unlicensed assistive personnel (UAP) has consistently completed all assignments in a safe and timely manner. b. This is normal for clients with hemorrhoids. is a new graduate in orientation. 2. Sudden attacks of sleep What actions should a nurse take to provide continuity of care when discharging a client diagnosed with hemiparesis to a long-term care facility for rehabilitation? 4. A person can be designated to make medical decision in the event the client cannot. a. Incorrect: Although this nurse is working on the postpartum unit, did you recognize the length of experience? This client should report an improved respiratory, not shortness of breath. Have another nurse guard the medication preparations until the nurse returns Which of the following client statements indicates an understanding of the procedure? a. Reposition the client every 3 hr 5. Which group of clients should she assign to the medical surgical nurse? Which of the following actions should the nurse take? 5. c. Changing a dressing Client diagnosed with inoperative brain tumor who is confused. Incorrect: This would unnecessarily alarm the clients. 4. Correct: The medical nurse can be assigned to this client. 2. It can result in muscle spasm and tissue damage. I'm drinking plenty of fluids." b. I will try to anticipate and avoid stressful situations when possible 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. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. The client states, "I am so nervous about what the doctor might find during the test." 1. b. I will begin once the client's discharge order is written Which of the following tasks should the nurse delegate to assistive personnel (AP)? 3. Select all that apply d. Counting radial pulse, 100. 4. Incorrect: The nurse is responsible for monitoring a client. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. Start MgSO4 at 3g/hr IV The client reports constipation for 4 days which may be an indication of worse problems. 4. Client diagnosed with Guillain-Barre' who is receiving ventilator support. A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. 3. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. b. Wash the area of the puncture thoroughly with soap and water b. Which of the following communication techniques should the nurse use during this phase? Two hours . UAPs can assist with elimination and are taught how to measure output. b. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. 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). Rewrite each incorrect sentence to correct the error. Notify the charge nurse of the observations. This individual should be provided appropriate comments of appreciation for this accomplishment. This is a diabetic clinic. Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. Incorrect: This prescription is written correctly. a. Auscultate breath should at least ever 2 hr b. Donation costs are the responsibility of the donor's family and estate c. Rephrase statements the client does not hear Notify the board of nursing (BON) that the float nurse is an alcoholic. a. A nurse caring for a client is using active listening skills. The LPN/LVN can reinforce teaching. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. c. They tend to use more verbal communication This will take a lot of time, and the charge nurse can get the information needed from the nurses caring for the clients in order to make appropriate client assignments for the next shift. a. Elicit info from the client Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. d. I will begin once the client's insurance company approves discharge coverage, b. a. b. 1. 1. a. 1. 1. Incorrect: The nurse retains the responsibility for the delegated task. Show client who has conjunctivitis how to clean the eyes. One important aspect is encouraging the flow of ideas between management and staff members. Incorrect: The charge nurse does not have to assess every client. 3. Both of these clients are terminal. The nurse on a large surgical unit needs to evaluate several clients returning from procedures. A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." 2. Which task would be appropriate for the nurse to assign to an LPN/VN? (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago. Have another nurse finish preparing the medications A nurse is admitting a client from a long-term care facility. Remind the client that a signed informed consent form is a legally binding document The nurse does not know the skills of the new UAP. Which of the following items should the nurse offer the client? Incorrect: This group of clients needs specific teaching. Write the letter of your choice on the answer line. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. 3. A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound is his temporomandibular joint. This documentation should go to your manager. Which of the following responses should the nurse make? b. c. I will make sure my visitors smoke outside A client on a surgical unit frequently quarrels with the staff. d. Perception Select all that apply 1. 4. An adolescent client post appendectomy reporting pain. A client with epilepsy reporting an odd smell in the room. d. Two nurses using a friction-reducing device, d. Use attentive listening with the client (when establishing presence, eye contact, body language, voice tone, listening, and reflection convey openness and understanding), 39. & 6. 2. 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 Teaching about a medication It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. d. What have you done in the past to cope with this issue? a. A nurse is creating a discharge plan. 4. a. 3. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. Four clients arrive for their appointment at a diabetic clinic. Plan all care to be completed in early morning to allow afternoon for visitation. The client's self-report of pain severity, 88. This could indicate a worsening of this client's condition. A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage kidney disease. During exacerbation, the client will have many diarrhea stools. The nurse is using which level of communication at this time? Nursing questions and answers. 6. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. a. 3. The facility has insurance that will cover malpractice litigation 3. 3. c. Check to see if the suction equipment is working 1., 2., 4., & 5. c. Face shield So what is wrong with option #1? 1. The charge nurse must triage and assign clients to appropriate staff. Administering IV pain medication to a two day post op client. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. c. Foot e. Throw rugs, 40. Nothing life threatening, but an assessment needs to be made regarding the ulcer. This client needs ongoing monitoring which is within the scope of practice for the LPN. a. Clarification a. 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? Provide positive feedback to the UAP. Decreased RBC production 5. Based on these findings, to which of the following providers should the nurse request a referral for the client? Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. 3. Select all that apply The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back). Tenderness over the symphysis pubis Incorrect: No, the monitoring is too specific for the med-surg nurse. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. This would be out of the UAP's scope of practice. A nurse asks a client to share personal stories. It happened so long ago - just get over it!" The nurse voices his concern to the charge nurse. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. }? benefactor of the world. 3. 3. 1. After making initial assessment rounds on assigned clients in the morning, the RN tells the charge nurse that the clients are too difficult. Incorrect: The RN is responsible for collecting data. However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. A nurse is caring for a client within the intimate zone of the client's personal space. 3. d. Droplet, d. Bend at the knees when picking up an object, 98. 1., 2., 3., & 4. Did you think dehydration and fluid volume deficit? Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Also, making a surgical bed for the client returning from surgery is a basic procedure. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. b. b. b. with this question, the nurse is using which of the following communication techniques? Checking capillary refill beneath the client's fingernail b. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures 4. Administer tap water enemas until clear at 6 AM. Each state BON differs in that also some have treatment programs they administer themselves. Speak to the UAP to determine what happened with the feeding. A nurse is caring for a client who has a mental health disorder. 1. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. It contains a blank and is followed by four answer choices. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. What is the best first action for the nurse to take in order to achieve this goal? 3. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. d. Explain oral hygiene to a client receiving chemo The nurse suggest that the family might need to respite care services. 4. 5. The nurse is reviewing some clients' prescriptions. Which of the following actions is the nurse's priority? a. Changing a colostomy bag. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? Place the client in a lateral position 1. However, it is on the "Do Not Use" list of abbreviations because it can be confused with morphine sulfate (MSO4). Hold the penis at a 30 to 45 degree angle when inserting the catheter a. A nurse is teaching a client who has a history of falls about home safety. 4. Which of the following types of communication breakdown does this response represent? The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). 1. Nothing by mouth (NPO). Patient safety must remain the priority. Two nurses lifting the client under the shoulders Which of the following types of torts has the nurse committed? Select all that apply. 3. Which of the following findings should the nurse identify as a safety risk? b. a. Temporary urinary retention (common for clients to develop after removal), 90. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. 2. d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound one of the licensed practical nurses Get the answers you need, now! There are potential problems in Options #1, 2, 3, and 4 and should be questioned and corrected. Which of the following client statements should indicate to the nurse the need for additional teaching? Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". 5. Which of the following actions should the nurse take? A client who is disoriented and awaiting transfer to a long-term care facility. Include any relevant statements the client made about the ulcer, 64. Which of the following actions should this nurse take? Gathering needed equipment and supplies is within the scope of duties for the UAP. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. A nurse removes an indwelling urinary catheter that an older client has had in place for 2 days. There is a trailing zero after the prescribed dose. a. Which of the following responses should the nurse provide? The client receives home health care and spends most of his day in a reclining chair. 1. 2. Irrigate a client's ear canal. c. I will complete the smoking cessation program I started 1. b. I'll rewrap my ankle starting from the knee down c. Leave a nightlight on in the client's room c. The emphasis is on the client's complete recovery from the illness or injury What information should the nurse include? Involve the client in their plan of care. This schedule may leave some clients too exhausted to visit with family. A nurse is assessing a client at a follow-up clinic for acute low back pain. A nurse is assessing a client who is experiencing prostatic hypertrophy. 5. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague.

Council Bluffs Police Department Press Release, Articles A