d. Social conversation, a. Refuse the overtime assignment, being prepared for disciplinary action. b. Which action should the nurse interrupt the UAP from performing? Two nurses lifting the client under the shoulders Feed the client after warming the food. b. Summarization Incorrect: This is a nursing responsibility and the best practice committee is the best place to begin. leadership management of care nurse on unit is providing care for group of clients. For which of the following actions should the nurse intervene? 1. 4. Call the client's provider 1. Feedback Based on this information,what should the nurse do? 2. A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. However, there are some basic points which are standard among all facilities. The nurse suggest that the family might need to respite care services. A nurse is teaching a client who has a history of falls about home safety. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage, 87. a. Correct: All facilities are required to develop a disaster plan, per JCAHO (Joint Commission on Accreditation of Healthcare Organizations) regulations, though the plans vary. This client is eating a simple carb snack, but the nurse needs to check the client's blood glucose level to see if the snack has helped. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? a. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. Send a day's worth of medications with the client to the receiving facility. a. I'll sit with my knees lower than my hips Autonomy vs shame and doubt The last client that should be sent back for care is the client experiencing epigastric pain and nausea after eating. _____The house that we lived in for nine years has been sold. a. 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 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. INCORRECT 3) Review a low-sodium diet for a client who has hypertension. e. Feed a client who had a stroke 3 months ago, 31. It's unfortunate that I have to be in the hospital for this treatment c. Rephrase statements the client does not hear Assign a nursing assistant to help the client with self-care activities. Reporting laboratory findings to a member of the client's family EXAMPLE: Of my three brothers and sisters, my sister Giselle has the better sense of humor. A nurse has completed an informed consent form with a client. This stage involves constructive efforts on the part of the group members If a sentence is already correct, write CCC. The nurse would then start the 24 hour urine once the 1st void has been discarded. 5. Changing the subject This referral would be appropriate. Which of the following actions by the nurse is considered an indirect nursing care activity? 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. "The client is weak on the right side, so please assist the client with dressing . Witness the client's signature (verify that the client is consenting to voluntarily and appears to be competent to do so), 71. 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? a. A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Select all that apply. The provider must renew a restraint prescription every 8 hr. b. Incorrect: Aplastic anemia is a blood disorder in which the body's bone marrow doesn't make enough new blood cells. Licenced practical nurses are a little less educated than registered nurses. Incorrect: If alcohol or drug dependency is suspected, confrontation will result in hostility and denial. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? 1. 2. a. Correct: The client must have lost decision-making capacity because of a condition that is not reversible or must be in a condition that is specified under state law, such as a terminal, persistent vegetative state, irreversible coma, or as specified in the Advanced Directive. 4. c. Changing a dressing When a family member asks how respite care can help, which of the following responses should the nurse provide? Changing a colostomy bag. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. Which of the following responses should the nurse provide? Charge Nurse - RN | Fresenius Karriere 4. c. Gender b. Urinary frequency for several days A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. c. The restraints should promote the client's safety and prevent injuries Prior to shift report, the charge nurse is making assignments for the nurses on the shift. 1. Refuse the delegated intervention. Dr. Frankenstein had seen himself as a(n) ?\underline{? c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Select all that apply Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. c. Raised toilet seats An LPN/VN has been floated to the emergency room following a chemical plant explosion. b. b. The nurse voices his concern to the charge nurse. d. Mask, 83. The infusion rate has stopped but the tubing is not kinked The charge nurse is planning assignments on a medical unit Which client It can result in muscle spasm and tissue damage. 4. A client requesting assistance packing his belongings for discharge later today.. Which of the following actions is the nurse's priority? a. Elicit info from the client A charge nurse is planning client activities for the day. Which of the following activities should the nurse perform in this zone? a. Both of these clients are terminal. Correct: Positive feedback is an effective communication tool that improves the workplace environment and encourages individual achievement, particularly in challenging situations. 4. Assist a client to ambulate using a gait belt A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session? A nurse is teaching a client about the physical effects of chemotherapy. Review a low-sodium diet for a client who has hypertension. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? C. Review a low-sodium diet for a client who has hypertension. 3. c. There is fluid leaking around the insertion site The client would develop severe cramping. PDF 8 steps for making effective nurse-patient assignments 4. Turn on local news for up-to-date information on the train derailment. Select all that apply. c. Changing a dressing, 78. 2. 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. There are a total of 10 adult clients. Ask the primary healthcare provider to suggest the best oral care procedure. c. Discard the tablet and obtain another dose of medication Asking for an explanation b. Remind the client to avoid tight fitting clothes. Which task is appropriate for the nurse to delegate to the experienced nursing assistant? d. Resistance is evident as subgroups form in this stage, c. Discard the tablet and obtain another dose of medication, 35. b. 2. A client receiving a blood transfusion that requires monitoring. 3. Reach around the pack and open the top flap away from the body d. Counting radial pulse Incorrect: Delegating 2 nurses to work with the client does not address the client's behavior. This client needs ongoing monitoring which is within the scope of practice for the LPN. What client should the nurse assess first? UAPs can assist with elimination and are taught how to measure output. Which group of clients should she assign to the medical surgical nurse? This is a task that can be delegated to the LPN/LVN. 4. Which of the following instructions should the nurse include? Incorrect. The charge nurse on each unit needs to prepare a list of possible discharges or transfers to be given to the appropriate primary healthcare providers for further action. Assessing this client and titrating the diltiazem requires the skills of an RN. Which of the following actions should the nurse take regarding informed consent? Incorrect: Volunteering to take a client would add more work to the charge nurse when this might not be necessary. c. Do not eat or drink anything the morning of the test d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? d. Clients are placed on artificial life support before organ and tissue donation can occur, a. I'll sit with my knees lower than my hips (client should sit with knees slightly higher than their hips to prevent injury), 24. The client's self-report of pain severity Provides day to day direction and supervision to assigned direct patient care staff. a. 2. Assigning blame for the changes to administration will not help staff adjust. c. Visual observation for nonverbal signs of pain 2. 3. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Incorrect: The client with fibromyalgia is reporting a pain level that needs to be addressed and the client will likely require pain medications.
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