A client requesting assistance packing his belongings for discharge later today., This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. d. Establishing the client's secondary medical diagnoses, b. A nurse is having difficulty caring for a client due to variables affecting the communication process. A high concentration of carbon monoxide can cause death Initiative vs guilt The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. c. I should purchase a carbon monoxide detector for my home 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). Correct: Hot water may damage dentures so intervention is needed. Solved 4. A charge nurse is making client care assignments. | Chegg.com Make referrals to community services. Airborne b. 4. Occupational therapist Gown Incorrect: It is out of the UAP's scope of practice to administer medication. The assignment process requires constant evaluation and reevaluation of information and priorities. d. Let's wait until tonight to see if he continues his behavior, 63. 4. Comatose client with end stage chronic obstructive pulmonary disease. Assign a nursing assistant to help the client with self-care activities. The nurse should call for immediate help so that a safe care environment is maintained for all clients. Understanding the charge nurse's role in staffing Which of the following actions should the nurse take? Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. Determine caregiver's stress level and coping strategies. A nurse is caring for a client in the orientation phase of the nurse-client relationship. Richied5864 Richied5864 . 4. Provides safe, effective delivery of patient care in . Therefore, this client would not be a priority over a client who may be experiencing a MI. Licenced practical nurses are a little less educated than registered nurses. 4. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Aplastic Anemia Support Group. 4. A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. 7. 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. Incorrect: An Advance Directive is a written, legal document regarding preferences for medical care should a person become unable to make medical decisions. Performing passive range of motion (ROM) on the client with right sided paralysis. c. Use an aggressive tone of voice Gather and apply dressings to open wounds. Incorrect: A client scheduled for surgery after a mastectomy is still able to make decisions. 4. a. Which group of clients should she assign to the medical surgical nurse? 3. Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. Oral surgeon Which of the following explanations should the nurse provide? Which prescription should the nurse question and have corrected? 3. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. 5. A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. Encourage client to express grief related to loss of independence. Respite care provides holistic support and care for a client who is terminally ill The nurse asks why the client needs to know this. Besides, a charge nurse is a leader on the floor and should possess . No! Channel 1. 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. C. Review a low-sodium diet for a client who has hypertension. Because positioning on a bedpan requires rolling of the client, an RN should be assigned to assess the insertion site and monitor for the presence of bleeding. 3. A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. Which actions should be instituted by each unit's charge nurse? Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? NURSING ASSIGNMENT- delegation in the workplace | Studymonk Evaluate pain relief after narcotic administration. Relief of urinary retention 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. Select all that apply A nurse is adhering to standard precautions while caring for a group of clients. Charge nurses have integral roles in healthcare organizations. b. a. Bathe a client who had an amputation 2 days ago This is the most stable of the four clients which places this client last to be seen. Provide an adaptive feeding device for the client 3. The nurse should perform which of the following activities in this space? Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. c. I will place an area rug at the entry of my bathroom This assumption is not appropriate, and the feelings and concerns of the client should be addressed. d. Highly concentrated urine, 91. The charge nurse tells a nurse that multiple sick calls from the upcoming shift has occurred. 5. This is not a situation that requires the LPN to notify the primary healthcare provider. Which of the following responses should the nurse make? c. Irrigating a client's abdominal wound A nurse enters an older adult client's room to insert a saline lock. Sudden attacks of sleep The Role of the Registered Nurse as Charge Nurse Client with an oral temperature of 103.2 F (39.5 C) 36 hours post intracranial surgery. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Incorrect: Passive ROM is performed with paralysis and can be delegated to the UAP. Incorrect: This response overlooks a potentially severe problem. 1. a. Hypotension 2. In option #4, we see that the leading zero is missing from the prescription. INCORRECT 3) Review a low-sodium diet for a client who has hypertension. b. The nurse should not lecture, scold or argue with the float nurse. Which clients could be assigned to an LPN? A nurse is implementing direct nursing care for a group of clients in an acute care facility. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. c. I'll need to shave the hair off the skin where I place the electrodes Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. the nurse responds: "It must be very frustrating to encounter this kind of attitude." The client was lying on the floor next to his bed (nurse should document what they actually see), 68. 4. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. c. Foot Disconnect client's nasogastric (NG) tube suction to allow ambulation. Encourage clients and families to develop mutually appropriate visitation times. Which region of the tRNA pairs with mRNA? Explore the client's feelings 1. Correct: A long term care facility is considered a client's "home environment", and families are encouraged to visit often. Assist ait to ambulate using a gait belt. What was the rationale for this plan? 1 This documentation should go to your manager. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. The charge nurse is making client assignments for a neuro-medical floor. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. 1. 3. 3. What information should the nurse include? Which of the following actions should the nurse include in the plan? Denial 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. 3. Remember, pick the killer answer first! Removing the client's dentures 1. A client with epilepsy reporting an odd smell in the room. 2. 1. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Select all that apply. Hanging a new bag of total parenteral nutrition (TPN). Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. Which of the following tasks should the nurse delegate to assistive personncl ( AP) ? 1. The healthcare team should recognize the client as the center of the team. b. Client with ureterolithiasis who requires frequent PRN pain medication. 4. Thoracentesis reporting shortness of breath. Furosemide 40 mg PO q.d. c. Tie linen bags securely at the top A nurse is completing discharge teaching with a client. Assist client to brush and floss teeth. 2. A nurse is caring for a client who is immobile. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). 2. 3. This could be devastating to the client if the decimal point is missed and the client receives 200 mg instead of the intended 20 mg of lisinopril. a. So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. 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. 4. a. I'll sit with my knees lower than my hips