Incorrect: Is phantom pain something that is unexpected with above the knee amputations? Encourage clients and families to develop mutually appropriate visitation times. 4. A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. A Charge Nurse Role: The Ultimate Guide. Incorrect: The nurse is responsible for evaluating a client. c. I should purchase a carbon monoxide detector for my home b. I'll use the cleansing wipes from the front to back 2. Administer sodium polystyrene sulfonate enema. Solved 77. The nurse in a long-term care facility is making - Chegg Allow the UAP to work without supervision. An experienced person who can research "best practice" regarding the issue is needed. This client needs ongoing monitoring which is within the scope of practice for the LPN. b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure Which of the following actions should the nurse take? Which of the following actions should the nurse take? Which of the following statements should the nurse identify as an indication that the client needs further teaching? b. Explain administration is demanding a decreased overtime. Client scheduled for a dressing change to foot ulcer. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. 4. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. c. I'll bear weight on my ankle for 10 minutes every hour 3. 2. 2. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. c. Physical therapist d. Wait to discuss the behavior in the presence of others, a. These are appropriate tasks for an UAP to complete. b. Assess the client Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. Correct: Communication is important in delegation, as is follow-up. Document what the nurse believes was the cause of the ulcer development The charge nurse must assign the clients to a team consisting of RNs, LPN/LVNs, and one CNA. The Role of the Registered Nurse as Charge Nurse 1, 3 & 5. Prepare a list of clients who could quickly be discharged or transferred. Which of the following statements should the nurse identify as an indication that the client understands the instructions? 2. d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. e. Talking with the client's partner, 79. 2. A copy of select parts of the medical recording, according to facility policy, is another form of communication that will support continuity of care. Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. The nurse is planning care for a client admitted with Alzheimer's Disease. The nurse also needs to be aware of the color and amount of urine voided. 3. Complete blockage of the large intestine. 3. What information should the nurse include? b. Ambulating a client who is 2 days post vaginal hysterectomy 3. 3. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com Client with arthralgia who is receiving regularly scheduled pain medications and has warm compresses prescribed. d. Providing information, a. Remember airway, breathing and circulation (ABCs). 2. The client with chronic emphysema has expected shortness of breath. 2. a. INCORRECT: Although the vascular status of the foot will need to be assessed, there is no indication if the debridement has been completed yet. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. Furosemide 40 mg PO q.d. A client diagnosed with rheumatoid arthritis needing discharge teaching. 3. d. Social conversation, a. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. 3. Changing a colostomy bag. 1. 4. A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. There are a total of 10 adult clients. d. Custard A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. a. Elicit info from the client Which tasks should the charge nurse complete at the end of the shift before leaving for the day? Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Nurses dependent on drugs or alcohol can harm clients. Start MgSO4 at 3g/hr IV Incorrect: Hanging a new bag of TPN is parenteral therapy requiring a central line. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. b. Negligence 1. Understanding the charge nurse's role in staffing Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. Teaching about a medication 2. The nurse asks why the client needs to know this. Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. One nurse lifting as the client pushes with his feet 1. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. c. Hold an object away from her body as she lifts it Have another nurse guard the medication preparations until the nurse returns A nurse is caring for a client who has a mental health disorder. The client would develop severe cramping. 4. The nurse received a client following surgery 8 hours ago. Document current functional status assessment 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. Which of the following should the nurse identify as an interpersonal variable? Discarding the first urine voided by the client starting a 24 hour urine test. Empty the drainage bag at least every 8 hrb.) The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. A nurse is working with an AP while caring for a surgical client who is 1 day postoperative. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. A nurse is preparing to obtain a blood specimen from a client by venipuncture. 4. A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. c. Consensus evolves in this stage The healthcare team should recognize the client as the center of the team. Answer the following question to test your understanding of the preceding section: When asking the client about his receptiveness to the transfer Incorrect: Atrial fibrillation places the client at risk for blood clots. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. 3. Observe the client before taking further actions It also helps the client deal with issues that are important to him), 19. This would be out of the UAP's scope of practice. The client post PEG placement is stable. Solved A charge nurse is making client care assignments. | Chegg.com 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 . Remind the client that a signed informed consent form is a legally binding document Based on these findings, to which of the following providers should the nurse request a referral for the client? There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. These individuals are selected by the charge nurse, and do not have to be nurses. 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. Assist a client to ambulate using a gait belt d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. Bargaining 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. with this question, the nurse is using which of the following communication techniques? 3. Hanging a new bag of total parenteral nutrition (TPN). 8. The RN is assigned to care for an unemployed 26-year-old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS). Which of the following actions should the nurse take to assist the client with feeding? 2. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Dr. Frankenstein had seen himself as a(n) ?\underline{? 4. Correct: Hot water may damage dentures so intervention is needed. c. Review the client's progress toward personal objectives a. 1., 2., 4., & 5. a. a. d. Droplet, d. Bend at the knees when picking up an object, 98. a. When a family member asks how respite care can help, which of the following responses should the nurse provide? (SATA) -Bathing a client who had an amputation 2 days ago. b. Assigning tasks to an AP A nurse is caring for a client who has emphysema and has difficulty with mobility. (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. When the licensed person cannot determine this, the task should not be delegated. 1. A nurse is assessing a client who has narcolepsy. b. c. Behaving defensively 3. Female client stating she has been raped. Limit the client's fluid intake in the evening Problems in Delegation: A Busy Day on the Floor - Quizlet a. Auscultating heart sounds Assign more daily tasks to the UAP. 3. The nurse should not lecture, scold or argue with the float nurse. b. Correct: Traction should never be relieved without a primary healthcare provider's prescription. If the volume of the bucket is 4.67L4.67 \mathrm{~L}4.67L, how many grams of gold are there likely to be in 2.381032.38 \times 10^32.38103 cubic feet of soil? Correct. Ask for any staff objections to rearranging work hours. b. b. Notify the charge nurse of the observations. c. Complete an incident report Client admitted 24 hours ago with a diagnosis of a stroke, who is now reporting a headache that intensifies when moving in the bed. Gathering needed equipment and supplies is within the scope of duties for the UAP. b. Urinary frequency for several days During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. Which clients should be assigned to the CNA? 1. 2. 2. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). However, each unit must have one designated representative to send to the command center, when requested, to receive and then relay, pertinent information back to the unit. 3. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. Which of the following infection-control precautions should the nurse use caring for this client? Speak to the UAP first and then decide if a between meal supplement is needed. 4. 5. Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. b. d. Your provider has prescribed antibiotic therapy to be administered intravenously every 6 hours, 95. 1. 6. Checking capillary refill beneath the client's fingernail A nurse is providing care to a client who is on strict bed rest following surgery. Which of the following actions should this nurse take? e. an open perineal wound, 92. 3. The charge nurse must triage and assign clients to appropriate staff. To which of the following rooms should the nurse assign the client? c. I will make sure my visitors smoke outside Assist a client to ambulate using a gait belt 6. 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). 3. 4. Licenced practical nurses are a little less educated than registered nurses. c. The emphasis is on the client's complete recovery from the illness or injury 7. Incorrect: No, the monitoring is too specific for the med-surg nurse. During the admission of pediatric client with a compound fracture of the right femur following a sports injury, which delegation by the charge nurse is most appropriate? 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. A nurse is filling out an incident report after finding a client lying on the floor. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. b. a. The option does not say the client is terminal, in a vegetative state, or in a coma. Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. 4. When staff do not feel vested in any new process, there is a sense of underappreciation. 1. But the client does need to be assessed prior to the client with Crohn's disease who is improving. Which of the following instructions should the nurse include? This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. Transfer essential medical record to the receiving facility. 4. The body needs vitamin B12 to make red blood cells. he charge nurse is making client care assignments for the evening shift Who should the nurse see first? b. Gather supplies to prepare room for isolation. d. I will place a bath seat in my shower to use when I bathe, b. Select all that apply 1. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. The nurse should identify that this client is demonstrating which of the following kulber-ross stages of grieving? The client was lying on the floor next to his bed 4. A. A nurse who is on hormone replacement therapy. 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. a. c. Blood-tinged urine Turn on local news for up-to-date information on the train derailment. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. 3. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. Which of the following findings associated with urinary retention should the nurse expect? a. A charge nurse is planning client activities for the day. b. Everything will be okay Vital sign measurement A nurse receives a client care assignment from the charge nurse that he believes is unfair. b. ATI Leadership and Management Questions - Leadership Management of Care 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. d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12.

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