b. 1. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. c. Discard the tablet and obtain another dose of medication The key word in the stem is first. Which prescription should the nurse question and have corrected? 4. Show client who has conjunctivitis how to clean the eyes. 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). Select all that apply Evaluate pain relief after narcotic administration. Incorrect: No, the monitoring is too specific for the med-surg nurse. The nurse who made the medication error should take which of the following actions first? 4. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines. Which of the following tasks should the nurse delegate to assistive personnel (AP)? b. A client post pacemaker insertion, awaiting discharge instructions. Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. Which preoperative prescription should the nurse question? An increased temperature will have a direct effect on the brain's metabolism and function. 1. Have another nurse guard the medication preparations until the nurse returns a. a. I wish I didn't have to attach the electrodes to my skin Also, making a surgical bed for the client returning from surgery is a basic procedure. d. Identifying the client by name when making a referral for home health services, 30. Which referral would most likely be appropriate for the nurse to make? 1. The charge nurse needs additional information to make a decision. The nurse is using which level of communication at this time? Licenced practical nurses are a little less educated than registered nurses. INCORRECT 3) Review a low-sodium diet for a client who has hypertension. b. 4. When a family member asks how respite care can help, which of the following responses should the nurse provide? a. Client #5 -It is considered within the scope of practice for an LPN/LVN to monitor a transfusion of a blood product. Drag and Drop the items from one box to the other. c. Initiate a liquid diet for the client b. Assign a nursing assistant to help the client with self-care activities. 4. d. Voided 30 mL frequently, 48. 4. A charge nurse is making client care assignments. 1. b. Wash the tablet off with alcohol and place it in a clean medicine cup There may be a good reason that the tray was not served. 3. The client should be assessed first to rule out respiratory difficulty and hemorrhage. b. d. Proceed with the preparation of the patient's surgical procedure, 15. Temporary urinary retention (common for clients to develop after removal), 90. b. Assigning tasks to an AP The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. 212 c. Washes and rinses her hands for 10 seconds, 11. 4. Notify the charge nurse of the observations. Incorrect: This again is assessment which is the role of the RN only. d. I hope I don't have to take as many pain pills, d. Left forearm (allows for easy access and doesn't interfere with the IV catheter), 46. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. 1. c. Rephrase statements the client does not hear Select all that apply 2. b. I'll do exercises that strengthen my abdominal muscles Dr. Frankenstein had seen himself as a(n) ?\underline{? A nurse is planning care for a female client who has an indwelling urinary catheter. a. Auscultating heart sounds Remind the client to avoid tight fitting clothes. 2. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. A nurse is caring for a client who is postoperative following abdominal surgery. The charge nurse asks the nurse who works in a state where mandatory overtime is legal to work an additional 8 hours of mandatory overtime. A client with epilepsy reporting an odd smell in the room. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. 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). B. Monitor client for pain while assisting with ambulation. A lack of rapid eye movement (REM) sleep Allow the UAP to work without supervision. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. Obtain a client's consent This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. This stage is when testing occurs to identify boundaries of interpersonal behaviors Which client should be assigned to the most experienced nurse? A nurse is engaging in relationship counseling with a male client. b. 4. The nurse voices his concern to the charge nurse. A nurse is caring for a client who has emphysema and has difficulty with mobility. a. 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. Announce the new changes at the monthly staff meeting. 3. Determine which personnel could be sent to the command center. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. Relax her abdominal muscles when she lifts an object 3. Select all that apply Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. 3. Point out inconsistences in the client's behavior 2. The fourth client the nurse should assess is the client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Ask the primary healthcare provider to suggest the best oral care procedure. 4. Select all that apply. The UAP can assist clients with hygiene care, so it is within the scope of practice for the UAP to assist a client with a sitz bath for the postpartum client. A nurse is caring for a client who has limited hand movement. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. Nurses dependent on drugs or alcohol can harm clients. (Select all that apply.) Correct: Clients diagnoses with folic acid anemia typically have developed the anemia from chronic alcohol abuse. The nurse also needs to be aware of the color and amount of urine voided. 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. Provides day to day direction and supervision to assigneddirect patient care staff . a. UAPs can assist with elimination and are taught how to measure output. 4. Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. 2. c. Gender Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. 3. 4. Correct: The medical nurse can be assigned to this client. There is a possibility that a hypothermia blanket may be prescribed. 1. 5. Though it may benefit staff to have one particular goal, some clients cannot tolerate to have everything performed at one time, and instead need short rest periods during personal care. 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. Which of the following methods should the nurse plan to use? Respite care allows the primary caregiver time away from day-to-day care responsibilities, 75. c. Do not eat or drink anything the morning of the test Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. b. b. 1., 2., 4., & 5. 4. 1. 2. Incorrect: The charge nurse does not have to assess every client. The client can indicate desire for Do Not Resuscitate (DNR). 1 The nurse has another priority. a. Client eating a simple-carb snack due to weakness. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. 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. 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. What was the rationale for this plan? 3. 1. Symbolic communication A nurse is caring for a client who frequently attempts to remove his IV catheter. Which of the following findings indicates that the client is meeting this goal? 28 week gestation of bed rest, postpartum with HELLP syndrome, breast reconstruction. Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. Incorrect: This group of clients needs specific teaching. & 5. In sickle cell anemia, the red blood cells become rigid and sticky and are shaped like sickles or crescent moons. A nurse is implementing direct nursing care for a group of clients in an acute care facility. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. 1. A nurse is having difficulty caring for a client due to variables affecting the communication process. d. Voided 30 mL frequently Teach the UAP to change surgical dressings. c. Why are you crying? b. Urinary frequency for several days For which of the following actions should the nurse intervene? A client requesting assistance packing his belongings for discharge later today., c. I suggest you talk with a mental health counselor about your concerns 1. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. It happened so long ago - just get over it!" A nurse is caring for a client who has a mental health disorder. Speak to the UAP first and then decide if a between meal supplement is needed. Select all that apply Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? c. Providing anticipatory guidance to a client in crisis Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. a. Which clients could be assigned to an LPN? 1. c. The nurse may serve as a witness to informed consent for organ donation A nurse is caring for an older adult client who has a fractured hip and will require rehab care. 1. 1. The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. When staff do not feel vested in any new process, there is a sense of underappreciation. d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. 2. 1. 4. You would be jeopardizing the limb of this client to take the time to do discharge teaching for the client waiting to go home. The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. c. Use intermittent eye contact PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Which of the following info should the nurse include? 3. Which of the following instructions should the nurse give to the client prior to the procedure? (Select all that apply.) This action is a defensive intervention, and does not address the quarrelsome behavior. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Based on these findings, to which of the following providers should the nurse request a referral for the client?
Zamunda Country In Africa,
Wheel Of Names With Music,
Central Florida Cardiology Group Patient Portal,
Common Grounds Apartments Amherst, Ny,
12 Things The Producers Of The Waltons Hid,
Articles A