a charge nurse is making client care assignments

Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Delegate 2 nurses to work with the client. Document current functional status assessment a. I'll provide more stimulation in his environment A nurse is preparing to move a client who is only partially able to assist up in a bed. Ask the RN why the assignment is too heavy. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. In order to reorganize staffing, the nurse manager should initiate which action first? Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. Anyone over age 18 can have an Advanced directive. d. I will begin once the client's insurance company approves discharge coverage, b. Which of the following statements should the nurse make? Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. 4. The client with cystitis is stable and has a predictable outcome. 3. There will likely be both physical and emotional injury that needs attention, which places this client third. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. A nurse is caring for a client who has emphysema and has difficulty with mobility. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. a. Speak to the UAP to determine what happened with the feeding. Complete a client assignment sheet for the oncoming staff. a. 3. Call the family of a client suffering from dementia to discuss long term care placement. A nurse is assessing a client who has narcolepsy. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? Assign more daily tasks to the UAP. A nurse is caring for an older adult client who has a fractured hip and will require rehab care. A nurse is performing care activities for a client in the zone of touch that requires his consent. This client can wait until the others are treated. d. Left forearm, b. c. Blood-tinged urine Twist at the waist when she moves an object to one side a. Determining the client's length of stay 4. 2. Estimate the number of Calories in two tablespoons of peanut Nothing life threatening. 76. The nurse has been assigned four clients. 1. Two nurses lifting the client under the shoulders 1. During exacerbation, the client will have many diarrhea stools. The nurse considers various ideas submitted by team members. Because the charge nurse observes and weighs . Incorrect: The nurse is responsible for evaluating a client. 4. 1., 2., 4., & 5. 5. What would the approximate meaning of photoelectric be, based on these root words? Each state BON differs in that also some have treatment programs they administer themselves. Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. with this question, the nurse is using which of the following communication techniques? To focus on effective learning with this client, which of the following interventions should the nurse use? A home health nurse is conducting a home safety assessment for an older adult client. Decreased or suppressed respiration are priority. It contains a blank and is followed by four answer choices. & 3. The nurse would then start the 24 hour urine once the 1st void has been discarded. b. b. Wash the area of the puncture thoroughly with soap and water 1. A cardiac step down unit has requested float staff because of multiple impending admissions. b. Donation costs are the responsibility of the donor's family and estate 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. 2. a. The client can indicate desire for Do Not Resuscitate (DNR). d. Explain oral hygiene to a client receiving chemo INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. a. Patient safety must remain the priority. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? Which of the following responses should the nurse make? A post-cardiac catheterization needing assistance with bedpan. Wrapping the dentures in tissue while the client sleeps The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. a. 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. b. a. I will wear gloves when removing food from the freezer Client reporting epigastric pain and nausea after eating. Remind the client to tell the nurse when he has to urinate Nursing questions and answers. Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. 4. Assessing this client and titrating the diltiazem requires the skills of an RN. 2. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. A charge nurse is making client care assignments. Incorrect: The charge nurse does not have to assess every client. Incorrect: A lumbar puncture involves removing cerebrospinal fluid from the subarachnoid space to diagnose specific diseases or the presence of bacteria. This service began with the client's admission to the hospital 4. and 16 g of fat. Which of the following actions should the nurse include in the plan? A list of current medications is sent to the facility. 3. 2. 1. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. c. One nurse lifting the client's legs as the client uses a trapeze bar Incorrect: There are situations in which the LPN must notify the primary healthcare provider. 10. 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. Observe the client before taking further actions 2. 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. Both of these clients are terminal. Incorrect: This prescription is written correctly. 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. 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. 1. Gathering needed equipment and supplies is within the scope of duties for the UAP. Which of the following instructions should the nurse include? Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. The nurse should not be assigned to provide care if impairment is suspected. 3. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this client. Which of the following findings should the nurse identify as a safety risk? Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. The client must understand the need for restraints c. Hallucinations at the onset of sleep c. Foot b. The client says, "go away, no one can help me." This documentation should go to your manager. b. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. A nurse is caring for a client who is postoperative. c. Changing a dressing A nurse asks a client how he is feeling. Correct: The LPN/LVN can monitor for behavioral changes and can look for potential safety hazards. C-section planning discharge, postpartum infection, mastectomy. d. Ambulating the client in the hallway, c. Explore the client's feelings about dietary modifications (this teaching intervention allows the client to express his acceptance of this change and focuses on affective learning), 80. Which client should the nurse assess first? The report should contain consequences. Did you think dehydration and fluid volume deficit? Incorrect: This client is exhibiting early signs of increased intracranial pressure. 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. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). Incorrect: This client does not have a predictable outcome. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. The RN with 5 years' experience in the Labor and Delivery unit. 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. a. Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. 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. C. Review a low-sodium diet for a client who has hypertension. 9. Incorrect: Sickle cell anemia is not caused by folic acid deficiency, so this client would not need a referral to this society. a. Well, do you see the q.d.? Which of the following tasks should the nurse delegate to assistive personnel (AP)? If the client is unstable, the nurse would retain the role of measuring the vital signs. d. Remove and reinsert the NG tube, a. A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. Electric cords behind the furnitrure Perform catheterization when you recognize the urge to void The stem does not indicate any loss of neurological function resulting from the seizure activity. d. Determine if the client uses hearing aids, b. The client's self-report of pain severity, 88. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. a. A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. a. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications. In what order should the nurse see the clients? (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. Which of the following is the priority action by the nurse? Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. The body needs vitamin B12 to make red blood cells. c. I will begin upon the client's admission to the facility This stage involves constructive efforts on the part of the group members Correct: This group of clients is primarily med surgical. 3. This individual should be provided appropriate comments of appreciation for this accomplishment. Gown The nurse cannot allow the UAP to perform advanced tasks. However, there are some basic points which are standard among all facilities. 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 can prevent harm to client's. d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37.

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