Discuss the issue with the leader of the "best practices" committee. Incorrect: A client diagnosed with Guillain-Barre' is mentally competent and being on a ventilator does not indicate that the client has lost decision-making capacity. Briefly assess every client. 2. The client was lying on the floor next to his bed a. a. I will keep my walker at the end of my bed b. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. Incorrect: The nurse is responsible for evaluating a client. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 4. Four clients arrive for their appointment at a diabetic clinic. Who should the nurse see first? 1. Which of the following instructions should the nurse give to the client prior to the procedure? Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. Complete blockage of the large intestine. Select all that apply PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Describe the types of machining operations that can be performed on a lathe. The nurse should not be assigned to provide care if impairment is suspected. d. Voided 30 mL frequently b. 1. 4. 2. Document current functional status assessment 2. Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. The nurse should do this when repositioning is needed. A charge nurse is making client care assignments. The nurse has received the change-of-shift report. Providing a passive response d. To identify delayed gastric emptying, a. Auscultate breath should at least ever 2 hr (priority action the nurse should contribute to the plan of care when using the ABC approach to client care in auscultating breath sounds to determine the client's need for suctioning; with inactivity, secretions can pool in the airways, diminishing breath sounds and causing crackles and dyspnea), 43. 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. A client with epilepsy reporting an odd smell in the room. Performing passive range of motion (ROM) on the client with right sided paralysis. Assist a client to ambulate using a gait belt 1. Client with ureterolithiasis who requires frequent PRN pain medication. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. The nurse did not trust the new UAP. A nurse is caring for a client in the orientation phase of the nurse-client relationship. b. Verbalize understanding of how the client feels c. They tend to use more verbal communication Initiate oxygen and IV lines as needed. a. 76. Correct: The client must have lost decision-making capacity because of a condition that is not reversible or must be in a condition that is specified under state law, such as a terminal, persistent vegetative state, irreversible coma, or as specified in the Advanced Directive. Furosemide 40 mg PO q.d. 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). Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. A nurse is caring for a client who is about to have a colonoscopy. Elderly clients have special fluid and electrolyte issues after a fall. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. Which of the following explanations should the nurse provide? A nurse instructs a female client about collecting a midstream urine sample. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. 6. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Client reporting epigastric pain and nausea after eating. Once the client is stable, the UAP could perform this task. 1. Showing disapproval Which of the following types of torts has the nurse committed? a. In option #4, we see that the leading zero is missing from the prescription. 2. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. b. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Reach around the pack and open the top flap away from the body, 53. Incorrect: The RN is responsible for assessment and evaluation of clients. Relax her abdominal muscles when she lifts an object It involves people who are constantly changing-their conditions improve and deteriorate, they're admitted and discharged, and their nursing needs can change in an instant. Feedback d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. Simply accept the assignment since overtime is mandatory. Temporary urinary retention (common for clients to develop after removal), 90. Hanging a new bag of total parenteral nutrition (TPN). c. Hallucinations at the onset of sleep The situation should be explored before bringing the supervisor in on the situation. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. Correct. The unit is short one staff member and will receive a nurse from the medical surgical unit. Client eating a simple-carb snack due to weakness. Which prescription should the nurse question and have corrected? 3. The client with cystitis is stable and has a predictable outcome. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. a. Bathtub with rails I'm drinking plenty of fluids." Perform the Heimlich maneuver 3. c. I will make sure my visitors smoke outside A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. 4. Teaching insulin self administration to a diabetic client. Which of the following info should the nurse include? 2. (SATA) -Bathing a client who had an amputation 2 days ago. Which of the following statements should the nurse identify as an indication that the client needs further teaching? The client asks about his medications and their effects. c. Holds the soiled linen against her body while carrying it to the linen bag Photo comes from the Greek word for light. d. I'll carry heavy objects close to my body, d. Places clean linen that touched the floor in the soiled linen bag, 25. Battery d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. - Assisting a client to ambulate using a gait belt. c. Industry vs inferiority 3. Documentation is a communication tool for the interprofessional health care team. Comatose client with end stage chronic obstructive pulmonary disease. 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. A nurse who is 10 weeks pregnant. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Remind the client that a signed informed consent form is a legally binding document 4. e. Talking with the client's partner, 79. a. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. Pernicious Anemia Society The provider must renew a restraint prescription every 8 hr. a. Which preoperative prescription should the nurse question? Incorrect: This is not completely practical for everyone. So, now you must decide which of these high priority clients should be seen in what order. The nurse has been assigned four clients. b. d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12. Notify the board of nursing (BON) that the float nurse is an alcoholic. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. 6. Lumbar puncture reporting a headache. b. 4. b. c. We administer all medications intravenously to clients in this unit Which of the following instructions should the nurse include? The first vital sign check was performed by the nurse. This is likely cholelithiasis, which will need to be checked out. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. Which of the following responses should the nurse provide? Correct: The nurse's level of fatigue must be considered especially under conditions of mandatory overtime. Pain a. 1. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. An LPN/VN has been floated to the emergency room following a chemical plant explosion. a. A nurse is caring for a client who expresses anxiety about his impending surgery. a. (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 1. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen American Sickle Cell Anemia Association a. c. Palpating for pedal edema The client must understand the need for restraints A nurse is caring for a client within the intimate zone of the client's personal space. Assign more daily tasks to the UAP. This client could be transferred with traction still maintained. Point out inconsistences in the client's behavior 4. A nurse is caring for a client who has a mental health disorder. Sudden attacks of sleep During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". 2. What client should the nurse assess first? Incorrect: What seems to be going on with this client? A nurse wants to find out a better way to perform oral care on unresponsive clients. This protein is released by cells in the stomach. Incorrect: If a report is made to the BON, it should be a factual documentation of specific events and actions, not a statement of impairment. Which of the following instructions should the nurse include? 4. This can prevent harm to client's. Delegate 2 nurses to work with the client. Discarding the first urine voided by the client starting a 24 hour urine test. 1. Estimate the number of Calories in two tablespoons of peanut a. A nurse has completed an informed consent form with a client. 1. c. Discard any residual gastric contents Client reporting a headache and has a fruity breath. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. 1. This stage involves constructive efforts on the part of the group members 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. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Besides, a charge nurse is a leader on the floor and should possess . b. The nurse could definitely be part of the committee. b. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? Ask the client to perform a return demonstration of insulin injection 3. Obtain a client's consent Select all that apply. 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). 3. Incorrect: Medications are not transferred with the client to a new facility. a. Hypotension The RN with 10 years' experience pulled from the ER. d. Custard d. Go to employee health services, b. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. 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. A client requesting assistance packing his belongings for discharge later today., a. 55. Collecting I & O totals for unit clients at the end of shift. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. 1. Correct: Talking to the nurses about client concerns and completing the client assignment sheet for oncoming staff will provide for a thorough shift change report. 4. a. 1., 2., 3., & 4. a. Which of the following client statements indicates an understanding of the procedure? It is not a routine task. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. A nurse who is breastfeeding her 4 month old. Decreased RBC production c. I will begin upon the client's admission to the facility Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. Select all that apply This client is at a high risk of infection. Incorrect: The RN is responsible for collecting data. b. c. I will complete the smoking cessation program I started 1. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. 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. Place the client in a lateral position Remind the client to avoid tight fitting clothes. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. LPNs can provide the client with needed analgesics or may simply guide the client with diversional activities for managing this type pain. 1., 2., 3., & 4. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. c. Measurement of residual urine after urination 2. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. c. Hallucinations at the onset of sleep, 65. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. a. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? c. Depression The client receives home health care and spends most of his day in a reclining chair. Drag and Drop the items from one box to the other. Aplastic anemia is a rare but serious condition. Which of the following instructions should the nurse include? The nurse is reviewing some clients' prescriptions. This is an elderly client who is a new admit. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. 3. A client with an above the knee amputation reporting phantom pain. d. Droplet, d. Bend at the knees when picking up an object, 98. Provide an adaptive feeding device for the client, 50. e. Throw rugs, 40. 3. 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. 1. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. 1. A nurse is caring for a client who has emphysema and has difficulty with mobility. 3. butter, which contain 16 g of protein, 7 g of carbohydrates, Also, making a surgical bed for the client returning from surgery is a basic procedure. 1. Invite staff to contribute ideas on scheduling changes. 5. c. Blood-tinged urine The client asks the nurse, "Why do I need that? 1. 4. Review the action of insulin therapy 1. 4. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. a. Auscultate breath should at least ever 2 hr This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Assign a nursing assistant to help the client with self-care activities. Nothing life threatening. 6. Refuse the overtime assignment, being prepared for disciplinary action. The nurse is planning care for a client admitted with Alzheimer's Disease. d. Message, 67. c. Changing a dressing Which of the following actions by the nurse is considered an indirect nursing care activity? 2. c. Distended bladder 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. Which of the following should the nurse identify as an interpersonal variable? Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. In which harmonic number n is the string vibrating? The client is apparently stable and does not require any advanced assessment skills or specialized care. 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. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. Explain administration is demanding a decreased overtime. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. 2. 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. Which of the following tasks should the nurse delegate to assistive personnel (AP)? Turn on local news for up-to-date information on the train derailment. 4. Incorrect: While it is true that the nurse manager is ultimately responsible for implementing and announcing new schedule changes, doing so without any staff input can create discontent in the work environment. Respite care provides holistic support and care for a client who is terminally ill Select all that apply d. Breathing in carbon monoxide can cause headaches and nausea, c. Take the client to the bathroom every 2 hr (this establishes a regular pattern of toileting and the client learns to trust that the staff will place value on his bladder-training needs), 59. Removing the client's dentures This assumption is not appropriate, and the feelings and concerns of the client should be addressed. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. 2. "Please explain what you mean by the word 'nervous'.". Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. c. Visual observation for nonverbal signs of pain Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. Incorrect: The charge nurse does not have to assess every client. c. Why are you crying? 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. Select all that apply Richied5864 Richied5864 . 1. What would the approximate meaning of photoelectric be, based on these root words? 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. the nurse responds: "It must be very frustrating to encounter this kind of attitude." It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. A nurse is creating a discharge plan. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. c. Paraphrasing A charge nurse is observing a group of newly licensed nurses. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. a. 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. a. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Ask client if they are eating small, frequent meals. 1., 4., & 5. However, it remains true pain for this client and the client would need intervention to help manage this pain. 3. A client who is disoriented and awaiting transfer to a long-term care facility. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. a. a. I will begin 48 hr before the client's discharge The client states, "I am so nervous about what the doctor might find during the test." A nurse asks a client how he is feeling. 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. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. Provides day to day direction and supervision to assigneddirect patient care staff . 4. 5. 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). c. imaginary The nurse is caring for four clients. b. Grape juice d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago 4. Witness the client's signature Select all that apply Sit side-by-side with the client This item: Nursing Brain Sheet Multiple Patient Notebook - Nurse and CNA Report Sheet - 3 Patients per Template $1999 BadgeGuru by Tribe RN - 52 Cheat Sheets on 26 Nurse Badge Cards - Designed by Nurses, for Nurses - Essential for Nurses and Nursing Students - Bonus Access to Our Digital Resource Library - Inverted $1997 ($0. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. The supervisor can only send one LPN/LVN to the floor. The first client the nurse needs to assess is the elderly client admitted 30 minutes ago with reports of constipation for four days. The area surrounding the insertion site feels warm to the touch, 61. 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. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. b. We see that the temperature is already elevated, which makes us worry that infection is present. c. Behaving defensively c. I suggest you talk with a mental health counselor about your concerns The LPN should refuse the intervention. Asking for an explanation c. The emphasis is on the client's complete recovery from the illness or injury However, this client would not need to be seen prior to the client with potential neurovascular compromise from a cast that is too tight. 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. d. Routine acquisition of a urine specimen 4. 1. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. 4. 9. c. I'll need to shave the hair off the skin where I place the electrodes