It's unfortunate that I have to be in the hospital for this treatment A skill for which the ap has received instruction the - Course Hero 6. 3. Which of the following responses should the nurse provide? The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Which of the following interventions should the nurse include? Nothing by mouth (NPO). 4. 6. Focusing 3. The client asks about his medications and their effects. In which harmonic number n is the string vibrating? One important aspect is encouraging the flow of ideas between management and staff members. Correct: The medical nurse can be assigned to this client. c. The restraints should promote the client's safety and prevent injuries Which of the following actions should the nurse take? It is not a routine task. This client is not the nurse's first priority. d. Discussing intake and output What is the best first action for the nurse to take in order to achieve this goal? The RN with 10 years' experience pulled from the ER. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. d. Identifying the client by name when making a referral for home health services, 30. Provides safe, effective delivery of patient care in . Which of the following statements should the nurse identify as an indication that the client needs further teaching? 6. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. b. d. Establishing the client's secondary medical diagnoses, b. Give magnesium citrate 296 mL at 3 PM today. Which of the following statements should the preceptor make? 1. 1. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. Removing the client's dentures Tenderness over the symphysis pubis the nurse should delegate collection of which of the following specimens to DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Harvard University University of Georgia Maryville University 3. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? The client is apparently stable and does not require any advanced assessment skills or specialized care. What information should the nurse include? Explain administration is demanding a decreased overtime. The RN with 5 years' experience in the Labor and Delivery unit. d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. Describe the types of machining operations that can be performed on a lathe. C. Review a low-sodium diet for a client who has hypertension. d. What have you done in the past to cope with this issue? The other options may be correct but are not the best first action. PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. 3. 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. Incorrect: This will take some time and would be best accomplished by sitting with the family to discuss options. 1. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. 1. It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home), 45. No! This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. 2. a. Auscultating heart sounds 4. 3. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. These irregularly shaped cells can get stuck in small blood vessels, which can slow or block blood flow and oxygen to parts of the body. A nurse who is breastfeeding her 4 month old. Nothing will get passed the complete blockage. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. Who should the nurse see first? The abdominal pain is worsening. a. I will keep my walker at the end of my bed A nurse is working with an LPN to care for a client who is receiving a continuous IV infusion. Sudden attacks of sleep d. principal. However, providing care for missing teeth would also be within the LPN scope of practice. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? a. I will wear gloves when removing food from the freezer Injuries from a motor-vehicle accident can be life threatening. Which of the following responses should the nurse make? Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). The client receives home health care and spends most of his day in a reclining chair. 1. 8. A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Based on the information provided in report, which client condition should be the nurse's priority? But the evidence-based care leaders are trained to help nurses through the proper process of evidence based research. Which of the following types of torts has the nurse committed? This is a diabetic clinic. 3. a. 4. Assist the float nurse with the clients case. d. Place the tablet directly into a medication cup, 36. Report of feeling pressure Invite staff to contribute ideas on scheduling changes. Following the teaching, the nurse asks the client to describe one physical effect. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. Select all that apply 4. Reach around the pack and open the top flap away from the body c. 214 4. Nothing life threatening. A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. d. Proceed with the preparation of the patient's surgical procedure, 15. which client would be an appropriate care assignment for this lpn? b. Donation costs are the responsibility of the donor's family and estate Following a large hurricane, multiple clients arrive at the emergency room for treatment. Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. b. c. Assist the client to the floor and begin mouth-to-mouth 1. Which of the following findings should the nurse identify as a safety risk? c. Use intermittent eye contact Performing passive range of motion (ROM) on the client with right sided paralysis. 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. d. Droplet, d. Bend at the knees when picking up an object, 98. Prior to shift report, the charge nurse is making assignments for the nurses on the shift. 4. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. e. Time, c. The nurse may serve as a witness to informed consent for organ donation (nurses may witness the consent for organ donation after a specially trained professional requests consent), 23. A nurse receives a client care assignment from the charge nurse that he believes is unfair. 4. 2. 3. 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. a. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. The client post PEG placement is stable. Have a pen and paper handy A nurse is discussing the norming stage of the group development process with a student nurse. Which of the following instructions should the nurse include? 3. Estimate the number of Calories in two tablespoons of peanut c. Contact An increased temperature will have a direct effect on the brain's metabolism and function. 3. 4. A client receiving a blood transfusion that requires monitoring. Which client should the nurse assess first? In option #4, we see that the leading zero is missing from the prescription. 5. d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago The client's self-report of pain severity, 88. Select all that apply. 4. Turn on local news for up-to-date information on the train derailment. d. I'll put a heating pad on my ankle at bedtime tonight, d. I have a set of my brothers' crutches in the basement I can also use (the client should not use crutches that belong to someone else; the crutches must fit body dimensions), 17. Perform the Heimlich maneuver c. Review the client's progress toward personal objectives Incorrect: The nurse is assuming that the client's quarrelsome behavior is normal for this client. Which client should be assigned to the most experienced nurse? Charge Nurse II- CNII - jobs.freseniusmedicalcare.com a. 1., 2., & 5. 3. Ask the client to perform a return demonstration of insulin injection Incorrect: A slightly decreased pedal pulse to the affected extremity is not unusual following cardiac catheterization. Assign a nursing assistant to help the client with self-care activities. The client asks the nurse, "Why do I need that? A nurse is caring for a client in the orientation phase of the nurse-client relationship. 2. c. I will inspect my crutches everyday for signs of wear Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. 1. Only a plain enema or soap enema can be given by the UAP. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. b. I will come back later and we can talk 1. The client states, "I am so nervous about what the doctor might find during the test." "The client is weak on the right side, so please assist the client with dressing . 3. 1. Which of the following explanations should the nurse provide? Gown d. Remove and reinsert the NG tube, a. Question: A charge nurse is making client care assignments. The nurse cannot assign assessment and evaluation of the nursing process to the UAP. So, the UAP can assist a client to brush and floss teeth. The client reports constipation for 4 days which may be an indication of worse problems. The assignment process requires constant evaluation and reevaluation of information and priorities. Select all that apply 4. Select all that apply Document what the nurse believes was the cause of the ulcer development c. Can you tell me why you chose me? d. Voided 30 mL frequently, 48. d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. A Medical Power of Attorney is a type of Advance Directive that appoints a health care agent to make decisions on the client's behalf when the client is unable to do so. A two-hour limit on visits discourages quality time. Incorrect: The purpose of a cystogram is to examine the inside of the bladder to confirm the presence or absence of abnormalities, or even obtain a biopsy. 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. 2. Client eating a simple-carb snack due to weakness. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. Besides yourself, there are the following staff: Your unit has 12 beds. Make referrals to community services. d. Sleep apnea Nursing Brain Sheet 4 Patients - luoe.expertoendermatologia.es c. Behaving defensively There is a possibility of rejection, which means close assessments and evaluations are needed by the RN.