The nurse should assess the client for which of the following expected outcomes after catheter removal? a. d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. Which of the following responses should the nurse make? d. Go to employee health services, b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure Documentation is a communication tool for the interprofessional health care team. Which of the following items should the nurse offer the client? c. I will make sure my visitors smoke outside b. 2. a. Select all that apply Assist client to brush and floss teeth. Moistening the dentures prior to inserting them But the client does need to be assessed prior to the client with Crohn's disease who is improving. Pain The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). c. Why are you crying? b. c. Rephrase statements the client does not hear a. I will wear gloves when removing food from the freezer Making client care assignments As the RN charge | Chegg.com Science Nursing Nursing questions and answers Making client care assignments As the RN charge nurse, you are preparing to make assignments for the oncoming shift in the medical-surgical unit. Explain oral hygiene to a client receiving chemotherapy 2. Teaching insulin self administration to a diabetic client. The nurse can accept the assignment, documenting your personal concerns regarding working conditions in which management decides the legitimacy of employee's personal concerns. To remove gastric acid that might cause dyspepsia Assigning this nurse to the newborn with CMV would put her unborn baby at high risk for life-long defects and even death. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. c. Environment Speak to the UAP first and then decide if a between meal supplement is needed. A person can be designated to make medical decision in the event the client cannot. 3. 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. a. Hanging a new bag of total parenteral nutrition (TPN). Incorrect: The RN is responsible for teaching. b. Which action by an unlicensed nursing assistant would require the nurse to intervene? 1., 2., 3., & 4. The best practice committee utilizes current research in their recommendations. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. (Select all that apply.) Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. This determination is needed to assure client safety is being considered. b. I'll do exercises that strengthen my abdominal muscles 4. 6. A nurse is preparing an education presentation about organ donation for a group of newly licensed nurses. d. Place the tablet directly into a medication cup, 36. We do not know the extent of her injuries based on what the option tells us. 3. A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. 6. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? A nurse is orienting a new assistive personal (AP) to the unit. c. To determine the client's electrolyte balance 3. b. 5. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. A written report of the incident is completed by the nurse and turned into the appropriate person (generally the performance improvement department). 3. 3. Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. Incorrect: It is important to hear what the nurse is saying and not to dismiss the request by refusing to reassign the clients. a. 1. Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. A nurse is teaching a client about carbon monoxide poisoning. The client reports constipation for 4 days which may be an indication of worse problems. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. Injuries from a motor-vehicle accident can be life threatening. Respite care provides holistic support and care for a client who is terminally ill The nurse received a client following surgery 8 hours ago. Incorrect: Teaching is outside the scope of practice for the LPN/LVN. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. The nurse is using which level of communication at this time? Everything will be okay c. Open the right flap with the left hand 3. Give magnesium citrate 296 mL at 3 PM today. Incorrect: The RN is responsible for developing the plan of care which would include necessary referrals. 4. 1. What would the approximate meaning of photoelectric be, based on these root words? 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. Incorrect: The scope of practice for the UAP encompasses basic personal care needs, ambulating, and taking vitals; however, the nurse must still verify that all tasks are accomplished in a safe manner. Dexlansoprazole 30 mg PO daily. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Well, do you see the q.d.? They are likely to wait for others to initiate conversation 1. b. Emptying a urinary drainage bag for a client who has pneumonia & 3. American Sickle Cell Anemia Association 2. 2. 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. Incorrect: This response overlooks a potentially severe problem. A nurse instructs a female client about collecting a midstream urine sample. Compartment syndrome could be developing which can impede circulation and cause nerve damage. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. Remember, pick the killer answer first! c. Changing a dressing 1. What is the best care assignment for this client? b. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. Try different methods of oral care on unresponsive clients to see what works best. Explore the client's feelings c. Hallucinations at the onset of sleep, 65. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. Feed a client that had a stroke 3 months ago. Correct: If suspicious behavior occurs, it is important to keep careful, objective records. b. The nurse delegated feeding of a client to the unlicensed assistive personnel (UAP). Correct: Cytomegalovirus is a viral infection that can be devastating to a fetus, especially in the first trimester. 1. Review a low-sodium diet for a client with hypertension. A nurse is engaging in relationship counseling with a male client. This assumption is not appropriate, and the feelings and concerns of the client should be addressed. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. A nurse is admitting a client who has a partial hearing loss. 3. Incorrect: This will take a lot of time and is best initiated from the "best practice" committee. Client diagnosed with a hemorrhagic stroke 1 week ago, who currently has a blood pressure of 170/96. a. 3. b. Donation costs are the responsibility of the donor's family and estate The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. Which of the following actions should the nurse take? 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. 1. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 4. Patient safety must remain the priority. Refuse the assignment, being prepared for disciplinary action. 3. d. Determine if the client uses hearing aids, b. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. For which of the following actions should the nurse intervene? Open communication and brainstorming sessions in which staff can freely share thoughts or ideas creates a positive work environment while helping decrease dissatisfaction. Measure urine output when client voids. }? benefactor of the world. A. Transporting a client who experienced a stroke 72 hr ago to the radiology department The charge nurse on the postpartum unit is making assignments. Place in priority order. a. Ask client if they are eating small, frequent meals. Which clients could be assigned to an LPN? 1. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. This action will promote the client's self-esteem, and may reduce the quarrelsome behavior. Incorrect: Emergency room nurses deal with life threatening emergencies but are not specialized in the care of clients with preeclampsia. A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. The nursing supervisor may be able to assist with client care until another nurse can come in to work. There will likely be both physical and emotional injury that needs attention, which places this client third. 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. 4. A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. 5. 1. A client post pacemaker insertion, awaiting discharge instructions. Drag and Drop the items from one box to the other. c. Review another client's similar surgical experience a. I will begin 48 hr before the client's discharge Which of the following findings associated with urinary retention should the nurse expect? A nurse is caring for a client who is postoperative following abdominal surgery. 4. 4. Remind the client that a signed informed consent form is a legally binding document Which of the following actions indicates that the AP understands the principles of infection control? a. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. 4. Which of the following actions is an example of a violation of confidentiality? 4. A nurse just back from maternity leave. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? 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. The first vital sign check was performed by the nurse. What options would be appropriate for the nurse to take? Therefore, this would not be the most appropriate nurse to assign to this client.
Problematic Mcyt Smutshots Ao3,
Philosophy Makeup Discontinued,
Hempstead Funeral Homes,
Why Is Julie Sommars In A Wheelchair,
When To Pick Satsumas In Louisiana,
Articles A