b. 4. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. Which preoperative prescription should the nurse question? 4. c. We administer all medications intravenously to clients in this unit "Please explain what you mean by the word 'nervous'.". a. The nurse voices his concern to the charge nurse. The nurse voices his concern to the charge nurse. a. a. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? The client receives home health care and spends most of his day in a reclining chair. The client's self-report of pain severity, 88. The client post PEG placement is stable. What should the nurse do first? 1. Battery 4. b. I will keep the fluorescent ceiling light on in my room at night Which clients should be assigned to the CNA? 4. c. Measurement of residual urine after urination a. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. c. Hold an object away from her body as she lifts it 2. and 16 g of fat. The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. This is a diabetic clinic. 3. They have found my address and are coming for my family!" 2. When completing an incident report about the pressure ulcer, the nurse should take which of the following actions? b. The nurse is caring for four clients. A nurse is caring for a client who is immobile. e. Feed a client who had a stroke 3 months ago, 32. This is an appropriate prescription. A client with an above the knee amputation reporting phantom pain. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. c. The restraints should promote the client's safety and prevent injuries 4. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter b. A charge nurse is making client care assignments. Ambulating a client who is 2 days post vaginal hysterectomy 4. 3. a. Bathe a client who had an amputation 2 days ago The unit is short one staff member and will receive a nurse from the medical surgical unit. Lisinopril 20.0 mg PO daily Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. The nursing supervisor may be able to assist with client care until another nurse can come in to work. The charge nurse on the postpartum unit is making assignments. 4. Which of the following is the priority action by the nurse? A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. 1. Convenience for the nursing staff or the client's family 4. Correct: Did you notice the hint? b. This client needs careful monitoring and specialized care. It is quicker to administer medications intravenously in the hospital So what is wrong with option #1? butter, which contain 16 g of protein, 7 g of carbohydrates, c. Malpractice 3. Obtain a urine specimen from a client with an indwelling Foley catheter. Which of the following pieces of PPE should the nurse remove first? b. 3. c. Notifying the provider of physical exam findings Decide which choice fits best in the blank. the nurse responds: "It must be very frustrating to encounter this kind of attitude." Incorrect: Restricting visitation to two hours is not appropriate, particularly for families traveling long distances to visit a client. c. Request a tray without pork b. I will bear the weight of my body on my hands Well, do you see the q.d.? 3. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. . 2. 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. c. Do not eat or drink anything the morning of the test What action should the nurse implement first to ensure client safety? Incorrect. This should not be delegated to the LPN/LVN. Ask for any staff objections to rearranging work hours. 1. The client's self-report of pain severity During exacerbation, the client will have many diarrhea stools. 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. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. d. I will place a bath seat in my shower to use when I bathe, b. Review a low-sodium diet for a client with hypertension. a. d. I will begin once the client's insurance company approves discharge coverage, b. 3. a. In what order should the emergency department triage nurse send these clients to a room for treatment? The option does not say the client is terminal, in a vegetative state, or in a coma. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". e. Lemon gelatin, d. Use soap and water to wash the catheter after each use, 33. Which of the following responses should the nurse provide? b. Which of the following findings associated with urinary retention should the nurse expect? Perform range of motion (ROM) exercises at least 2-3 times daily Include any relevant statements the client made about the ulcer, 64. d. Places clean linen that touched the floor in the soiled linen bag, d. Decreased calcium excretion (prolonged immobility leads to the breakdown of bone tissue; result is decreased calcium excretion), 26. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. 4. Assign more daily tasks to the UAP. Providing a passive response The cause of the fall may be cardiac, but the question does not indicate this. It's just not the right time for me to do this 1. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. Underline the adjective clause in each sentence. A nurse is caring for a client who is postoperative. There is a possibility that a hypothermia blanket may be prescribed. Request a prescription for a medication to ease the client's anxiety Elderly clients have special fluid and electrolyte issues after a fall. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Accept the client's behavior as confrontational. 5. Incorrect: The nurse is responsible for monitoring a client. Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. Start MgSO4 at 3g/hr IV a. I'll provide more stimulation in his environment A nurse is caring for a client who has had an allogenic hematopoietic stem-cell transplant. 1 d. Put the side rails up and tell the client to call the nurse before voiding, d. Two nurses using a friction-reducing device (reduces the risk of injury to the nurses and to the client; nurses can use a draw sheet as a friction-reducing device), 38. Provide an adaptive feeding device for the client, 50. 3. Incorrect: This client is exhibiting early signs of increased intracranial pressure. 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). Which clients should be assigned to the CNA? Currently, your census is 11, with one empty bed. Which of the following statements should the nurse identify as an indication that the client needs further instruction? To which of the following rooms should the nurse assign the client? 1. A nurse is admitting a client from a long-term care facility. c. I'll bear weight on my ankle for 10 minutes every hour b. Relief of urinary retention The nurse received a client following surgery 8 hours ago. 2. 1. e. The urge to move the legs when trying to sleep, 66. 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). d. What have you done in the past to cope with this issue? Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Client diagnosed with gastroenteritis who reported 300 mL diarrhea stool x2 in the last hour. a. Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. 1., 3, & 4. 1. The charge nurse should notify the nursing supervisor who will seek additional staff. Incorrect: Atrial fibrillation places the client at risk for blood clots. 3. Each state BON differs in that also some have treatment programs they administer themselves. This is outside the scope of practice for the LPN/LVN. d. Mask, 83. b. The third client that should be sent back for treatment is the female client stating she has been raped. The cleint's family asks the nurse for info about this type of care. Which of the following statements should the nurse identify as an indication that the client understands the discharge information? 1. c. Open the right flap with the left hand Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. What is the best care assignment for this client? Incorrect: This client does not have a predictable outcome. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. Which client can be assigned to the LPN? 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. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. Flexible hours allow clients and families to spend more quality time together, increasing positive outcomes and satisfaction. A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. Nothing will get passed the complete blockage. d. Counting radial pulse Therefore, the nurse with the labor and delivery experience would be more appropriate to assign to this 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. What is the best response by the charge nurse? Which of the following findings should the nurse expect? c. Document in the client's medical record that she completed an incident report Which of the following actions should the nurse take? Alert all off-duty personnel to stand by in case of call- in. 1. 5. Incorrect: Just because the UAP is able to accomplish all daily assignments efficiently does not mean more work could be handled as effectively. a.) A client has been admitted with folic acid deficiency anemia. Which of the following client statements indicates an understanding of the procedure? Symbolic communication A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. 4. b. 3. 2. d. Motor impairment, 84. An increased temperature will have a direct effect on the brain's metabolism and function. A nurse is caring for a client who has a hip fracture that requires surgical repair. c. The emphasis is on the client's complete recovery from the illness or injury A nurse is using the communication principle of presence when establishing a collaborative relationship with a client. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. c. I'll clean the inside of the container with a wipe The nurse asks why the client needs to know this. The below statement corresponds to a numbered sentence in the passage. The nurse should not be assigned to provide care if impairment is suspected. The LPN/LVN can gather data, but the RN is responsible for validating and interpreting that data to assess and evaluate. 6. 1. 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. a. 5. Incorrect: This is not completely practical for everyone. Correct: Traction should never be relieved without a primary healthcare provider's prescription. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. a. 3. An experienced person who can research "best practice" regarding the issue is needed. The area surrounding the insertion site feels warm to the touch, 61. Which of the following should the nurse identify as an interpersonal variable? Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. 4. Simply accept the assignment since overtime is mandatory. Assist a client to ambulate using a gait belt 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). This would be out of the UAP's scope of practice. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. 2. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin.
Margaret Galvin Paintings Moving Peter, Robin Arzon Marathon Results, Steelseries Arctis 5 Can Only One Side Working, Articles A