It is quicker to administer medications intravenously in the hospital A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. Measuring vital signs (Select all that apply) Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. b. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? If the decimal point is missed in this situation, the client could receive 5 mg instead of the intended dose of 0.5 mg of risperidone. Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. The other options may be correct but are not the best first action. A nurse is teaching a client about carbon monoxide poisoning. Explain oral hygiene to a client receiving chemotherapy 3. They are more direct when discussing issues A nurse has completed an informed consent form with a client. Which of the following client statements should indicate to the nurse the need for additional teaching? 2. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage 1. Pain c. Measurement of residual urine after urination Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). However, providing care for missing teeth would also be within the LPN scope of practice. 2. The nurse should do this when repositioning is needed. Allow families unlimited visitation around the clock to meet their schedules. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. A nurse is caring for a client who is postoperative following abdominal surgery. d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. Only the state Board of Nursing can legally determine the LPN's scope of practice. Places the soiled linen in the floor before bagging it b. Incorrect: There are situations in which the LPN must notify the primary healthcare provider. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. Refuse the overtime assignment, being prepared for disciplinary action. Which of the following findings indicates that the client is meeting this goal? d. I have a set of my brothers' crutches in the basement I can also use, a. Respite care provides holistic support and care for a client who is terminally ill Select all that apply a. Correct: This group of clients is primarily med surgical. 3. A Charge Nurse Role: The Ultimate Guide. 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 . No! c. Palpating for pedal edema 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). Assist the float nurse with the clients case. What options would be appropriate for the nurse to take? b. c. Helping the client into the shower 3. 1. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. A nurse in a clinic is teaching a group of clients about preventing low back pain and injury. A nurse asks a client how he is feeling. 1, 3 & 5. The charge nurse might not have realized all the responsibilities of taking this team of clients. *HURST REVIEW Qbank/Customize Quiz - Leadership 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 engaging in relationship counseling with a male client. Which of the following types of communication breakdown does this response represent? They are able to manage tasks related to basic care. The LPN/LVN can gather data, but the RN is responsible for validating and interpreting that data to assess and evaluate. An Advance Directive includes a Living Will and a Medical Power of Attorney. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. The reason for the UAP not feeding the client needs to be determined. c. Providing anticipatory guidance to a client in crisis Read all the current literature related to oral care on unresponsive clients. It's unfortunate that I have to be in the hospital for this treatment Which of the following responses should the nurse make? Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? 4. Now, in Option #2, we see a dangerous prescription. The unit is short one staff member and will receive a nurse from the medical surgical unit. b. 1. 1. 8. M2.4: Making Client Care Assignments-GECC As the RN charge nurse, you are preparing to make assignments for the oncoming shift on the medical- surgical unit. Dentures should be stored in a denture cup. The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. A client with exacerbation of COPD reporting dyspnea. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. b. Negligence Which of the following types of torts has the nurse committed? Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. Which of the following items should the nurse offer the client? The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. 5. Which of the following actions is the nurse's priority? "The client is weak on the right side, so please assist the client with dressing . d. Transporting a cerebrospinal fluid specimen to the lab 1. Administering 3 g/hr IV of morphine would be extremely dangerous. A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Notify the primary healthcare provider of transfer completion. Call the client's provider 6. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. What proposal would the nurse determine to best meet the needs of families and clients in long term care? Incorrect: This group of clients needs specific teaching. Monitor client for pain while assisting with ambulation. What should the nurse do first? Relief of urinary retention Perform the Heimlich maneuver The nurse should initiate a referral with which of the following members of the interprofessional health care team? This service began with the client's admission to the hospital This determination is needed to assure client safety is being considered. A client with fibromyalgia reporting generalized pain of 7 out of 10. a. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. 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. Observe the client before taking further actions b. Something new could have occurred with the clients, making the assignments too heavy. "Please explain what you mean by the word 'nervous'.". 3. c. I will inspect my crutches everyday for signs of wear 1. Select all that apply d. Voided 30 mL frequently, 48. This referral would be appropriate. The nurse who made the medication error should take which of the following actions first? a. 2. This client can wait until the others are treated. 4. c. Use intermittent eye contact 4. A nurse who is on hormone replacement therapy. Semi-formed stools are great news! The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. Measure urine output when client voids. b. A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. Show client who has conjunctivitis how to clean the eyes. Incorrect: Although this nurse may be accustomed to caring for clients in acute situations requiring a higher level of care, this nurse is not familiar with caring for clients with preeclampsia. The last client would be the one needing dietary education. c. Shivering The RN with 8 years' experience in the Intensive Care Unit. 1., 2., 3., & 4. Notify the nursing supervisor of the situation. ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. 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. A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Remember, pick the killer answer first! d. Lean back in the chair, b. He charge nurse is making client care assignments for the evening shift. Cystogram reporting burning on urination. Transfer essential medical record to the receiving facility. Notify clients that the disaster plan has been put into effect. Thoracentesis reporting shortness of breath. Incorrect: The RN is responsible for collecting data. Send a day's worth of medications with the client to the receiving facility. Select all that apply 3. a. A nurse is planning to discharge a client who has quadriplegia to his home. d. Providing information, a. This documentation should go to your manager. b. What client should the nurse assess first? b. Irrigate the NG tube with 100 mL of sterile water Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. The RN with 2 weeks' experience on the postpartum unit. What is the best care assignment for this client? 2. Correct: The client may be experiencing a myocardial infarction and requires further assessment. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. A client diagnosed with rheumatoid arthritis needing discharge teaching. The client must understand the need for restraints c. Depression 55. Accept the client's behavior as confrontational. As a charge nurse, you're a frontline leaderthe first reflection of your organizationand you need to ensure you are meeting the organization's goals and values. Which of the following instructions should the nurse include? A nurse is caring for a client whose partner asks to speak with the nurse. The RN requests reassigning at least one of the clients to another nurse. Those clients who may be discharged or transferred will be informed, but it is not appropriate to alert every client. A charge nurse is making client care assignments. b. 1. A nurse is working with an assistive personnel (AP) to A client post pacemaker insertion, awaiting discharge instructions. b. a. What is the best first action for the nurse to take in order to achieve this goal? Monitor for GI upset 30 minutes after meals. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). A float nurse arrives on the unit to assist in the care of clients for the shift. 3. Client reporting epigastric pain and nausea after eating. 208 4. Refuse the assignment, being prepared for disciplinary action. The RN will also need to be in communication with the assisted living facility to ensure that they have are a support system for the patient and her follow up care with her pacer. This is an elderly client who is a new admit. e. Dysuria, 49. 1 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. Sudden attacks of sleep d. Remove tea and coffee from meal trays, b. The nurse is using which level of communication at this time? 3. d. Talk with the client's partner, b. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" (Select all that apply.) 4. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. Use the tablet's packaging to pick it up from the counter a. Clarifying Remember airway, breathing and circulation (ABCs). Report of feeling pressure A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. Furosemide 40 mg PO q.d. a. Hypotension a. 1. 5. Explore the client's feelings Which of the following nontherapeutic communication techniques is the nurse using? c. There is fluid leaking around the insertion site Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. The nurse has just completed a 12 hour shift. 2. Answer the following question to test your understanding of the preceding section: 1. Teaching insulin self administration to a diabetic client. 4. Which of the following actions should the nurse take? A client receiving a blood transfusion that requires monitoring. A nurse is caring for a client who is scheduled for an elective surgical procedure. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. A charge nurse is making client care assignments. 3. A charge nurse is making assignments for an oncoming shift. What action should the nurse implement first to ensure client safety? This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. 2. 2) Assist a client to ambulate using a gait belt. d. Perception a. d. Decreased calcium excretion, c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown), 27. 3. 1. c. Confrontation 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.
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