a charge nurse is making client care assignments a charge nurse is making client care assignments

Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. Simply accept the assignment since overtime is mandatory. Correct: A LPN should be able to care for a client with arthralgia who requires pain medication on a regular schedule and is receiving warm compresses. 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. 2. 4. a. A nurse is administering a cold therapy application to a client. c. Washes and rinses her hands for 10 seconds 3. Question: A charge nurse is making client care assignments. This stage involves constructive efforts on the part of the group members Problems in Delegation: A Busy Day on the Floor - Quizlet 2. Inform the client of the need to avoid irritants such as carbonated beverages. Client diagnosed with Guillain-Barre' who is receiving ventilator support. Remind the client that a signed informed consent form is a legally binding document which client would be an appropriate care assignment for this lpn? Which of the following should the nurse identify as an interpersonal variable? A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. Everyone knows there are others who can chair this committee better than me 2. 2. This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. Lisinopril 20.0 mg PO daily 1., 4., & 5. (Select all that apply.) Allow the UAP to work without supervision. c. Helping the client into the shower The client is getting better. Teaching insulin self administration cannot be delegated to the LPN. 1-month-old infant with bronchiolitis with a respiratory rate of 60 6-month-old infant with pneumonia on oxygen 4-year-old child with nephrotic syndrome with 4 protein in the urine 6-year-old child 2-day post-op appendectomy with a surgical drain c. Initiate a liquid diet for the client 4. Also, making a surgical bed for the client returning from surgery is a basic procedure. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. 6. b. Summarization A nurse is orienting a new assistive personal (AP) to the unit. The UAP can provide hygiene needs to a client such as perineal care and cleaning of the nares. Incorrect: The RN is responsible for assessment and evaluation of clients. Which referral would most likely be appropriate for the nurse to make? b. 3. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Vital sign measurement c. I'll need to shave the hair off the skin where I place the electrodes c. Explore the client's feelings about dietary modifications 3. Skill level and scope of practice of each staff member, Exit HESI (Actual hesi hints), EXIT HESI 2, Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following tasks should the nurse delegate to assistive personnel (AP)? Notify the board of nursing (BON) that the float nurse is an alcoholic. a. 2. ATI Leadership and Management Questions - Leadership Management of Care A charge nurse is observing a group of newly licensed nurses. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. The nurse should use close-ended questions when assessing which of the following factors? Speak to the UAP first and then decide if a between meal supplement is needed. Which of the following statements should the nurse identify as an indication that the client understands the instructions? During report, the nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. Perform range of motion (ROM) exercises at least 2-3 times daily Only the state Board of Nursing can legally determine the LPN's scope of practice. a. What is the best care assignment for this client? This can prevent harm to client's. (a) HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010\mathrm{HCN}(a q)+\mathrm{H}_2 \mathrm{O}(l) \longrightarrow \mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{CN}^{-}(a q); K=4.9 \times 10^{-10}HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010 It is crucial that the oncoming staff have an opportunity to voice any concerns regarding assignments and clarify any information provided.This proper exchange of information and concerns helps to ensure the safety of clients, provides continuity of care, and possibly prevents problems that might arise if these concerns had not been addressed. 3. 4. Occupational therapist Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. Refuse the assignment, being prepared for disciplinary action. A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. Doing this at the end of the shift could prevent completion of the client assignment sheet for the next shift and possibly create unnecessary overtime for the charge nurse. d. Place the tablet directly into a medication cup, 36. M2.4 Making Client Care Assignments - GECC.pdf - Course Hero d. There is no blood return when the tubing is aspirated, c. I will cover the catheter so he cannot see it (using stockinette or clothing to cover the IV insertion site is an appropriate distraction technique and might steer the client's attention away from the catheter), 62. 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. A charge nurse on an acute care unit is planning care for a client A nurse is creating a discharge plan. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. When assigning nurses to patients, the charge nurse must consider the acuity of the patient's condition, the skills of the nurse, and the availability of other staff members. 2. b. Wash the tablet off with alcohol and place it in a clean medicine cup Which of the following actions by the nurse is considered an indirect nursing care activity? A client with exacerbation of COPD reporting dyspnea. b. I'm so sorry to hear about this Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? 8 Steps for Making Effective Nurse-Patient Assignments When he arrives for his first dialysis treatment, he tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. 5. It can develop suddenly or slowly and tends to worsen with time, unless the cause is found and treated. Which of the following statements should the nurse identify as an indication that the client requires further clarification? d. Custard Twist at the waist when she moves an object to one side Remember, pick the killer answer first! It contains a blank and is followed by four answer choices. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. What is the primary factor for the charge nurse to consider when delegating care? Feed a client that had a stroke 3 months ago. Which of the following client statements indicates an understanding of the procedure? In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. a. 1. A nurse is adhering to standard precautions while caring for a group of clients. 4. Check environment for potential safety hazards. a. 2. Based on this information,what should the nurse do? 1. A nurse is working with an assistive personnel (AP) to 3. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? 2. For which of the following tasks should the nurse wear protective eye equipment. A nurse is planning to discharge a client who has quadriplegia to his home. "The client is weak on the right side, so please assist the client with dressing . 3. Incorrect: A client who has a spinal cord injury and is in rehabilitation is still alert and able to make decisions. Select all that apply 1. a. Bathtub with rails Remove all metal necklaces The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. Which of the following items should the nurse include on the lunch tray? 3. The client attempted to climb over the side rails and fell Where on the body is each type of skin found? Encourage client to express grief related to loss of independence. December 5, 2020. One nurse lifting as the client pushes with his feet Assigning blame for the changes to administration will not help staff adjust. 1. Incorrect: Medications are not transferred with the client to a new facility. c. Depression 1. d. Talk with the client's partner, b. A nurse is admitting a client from a long-term care facility. Show client who has conjunctivitis how to clean the eyes. The client's self-report of pain severity A nurse asks a client how he is feeling. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. 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). 2. Of my three brothers and sisters, my sister Giselle has the best sense of humor. Serve milk products separately from meals Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. b. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. Which of the following pieces of PPE should the nurse remove first? d. I shouldn't advice you about what is ultimately a personal decision, b. Client eating a simple-carb snack due to weakness. 3. When a family member asks how respite care can help, which of the following responses should the nurse provide? These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. A nurse is caring for a client whose partner asks to speak with the nurse. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. 1. (Select all that apply.) b. 3. On an ongoing basis, the charge nurse evaluates individual and collective outcomes of the patient care provided during their shift, compares patient care delivery to accepted standards, adjusts assignment of resources as necessary, and reports changing needs and outcomes to the health care staff. TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . c. When asking the client how he completes his ADLs Prepare a list of clients who could quickly be discharged or transferred. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. Which of the following statements should the nurse identify as an indication that the client needs further teaching? a. Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. a. To remove gastric acid that might cause dyspepsia A charge nurse is making client care assignments. 5. Therefore, this client would not be a priority over a client who may be experiencing a MI. Which of the following instructions should the nurse include? Incorrect: This would unnecessarily alarm the clients. 4., & 5. 4. 1. Since the enema would clean below the obstruction, the client would be able to expel the enema and any feces in this part of the colon. d. Counting radial pulse, 100. During exacerbation, the client will have many diarrhea stools. 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). 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. b. b. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen e. Feed a client who had a stroke 3 months ago, 31. We do not know the extent of her injuries based on what the option tells us. Once the client is stable, the UAP could perform this task. A nurse is caring for a client who states, "I have got to get out of this hospital! Hold the penis at a 30 to 45 degree angle when inserting the catheter 1. c. Provide the client with a diet high in protein Splitting the overtime shift is an acceptable option that the nurse could suggest in order to solve the staffing problem and decrease the amount of time the nurse will be working. . Incorrect: This response overlooks a potentially severe problem. Document what the nurse believes was the cause of the ulcer development Prior to shift report, the charge nurse is making assignments for the nurses on the shift. NUR 212 Patient assignments.docx - M2.4: Making Client Care During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". b. 5. Feedback Select all that apply c. Offering false reassurance 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. Because facilities generally prefer some type of consistent schedule for staffing purposes, older visitation policies were often very restrictive. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. 2. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. Incorrect: This client is exhibiting early signs of increased intracranial pressure. In option #4, we see that the leading zero is missing from the prescription. c. Changing a dressing Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. 3. d. Mask, 83. b. c. I will inspect my crutches everyday for signs of wear 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. a. I'll sit with my knees lower than my hips 2. Correct: The UAP can remind the client to do something that has already been taught by the nurse. Education 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? d. Proceed with the preparation of the patient's surgical procedure, 15. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. b. 3. This service began with the client's admission to the hospital, 18. An increased temperature will have a direct effect on the brain's metabolism and function. It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home), 45. "Please explain what you mean by the word 'nervous'.". The supervisor can only send one LPN/LVN to the floor. Which of the following infection-control precautions should the nurse use caring for this client? Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. Additionally, off-duty personnel may be needed and should be alerted to stand by; however, the command center alone makes the determination whether extra personnel should be called in, or if it would put more individuals in jeopardy. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. b. Select all that apply c. I will place an area rug at the entry of my bathroom Which of the following statements by the student indicates understanding of the discussion? Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? A home health nurse is conducting a home safety assessment for an older adult client. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. Empty the drainage bag at least every 8 hrb.) This is likely cholelithiasis, which will need to be checked out. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Client scheduled for a dressing change to foot ulcer. The RN with 5 years' experience in the Labor and Delivery unit. The client is apparently stable and does not require any advanced assessment skills or specialized care. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Bargaining Ask the charge nurse to evaluate the intervention. This protein is released by cells in the stomach. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. Temporary urinary retention (common for clients to develop after removal), 90. A client with an above the knee amputation reporting phantom pain. 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. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. However, providing care for missing teeth would also be within the LPN scope of practice. c. Palpating for pedal edema Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? Therefore, this would not be the most appropriate nurse to assign to this client. 2. A nurse is admitting a client who has a partial hearing loss. (Select all that apply.). 4. Ask the client to perform a return demonstration of insulin injection Gather and apply dressings to open wounds. a. 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. Autonomy vs shame and doubt d. Have the client practice blood-glucose monitoring using a glucometer, d. When asking if the client took his medications this morning, 81. the nurse responds: "It must be very frustrating to encounter this kind of attitude." Incorrect: The nurse cannot assign teaching to the UAP. Select all that apply Select all that apply b. Urinary frequency for several days NUR 204 ATI Management of Care Ch. 1-9 Flashcards | Quizlet