The charge nurse's best response is to first obtain the needed information to make the best decision. d. Custard 5. 3. Client with cast to right leg requiring pain medication. Respite care allows the primary caregiver time away from day-to-day care responsibilities & 4. d. The nature and invasiveness of the surgical procedure, d. The nurse has already considered alternatives to restraints, 89. which client would be an appropriate care assignment for this lpn? d. I shouldn't advice you about what is ultimately a personal decision, b. Assist a client to ambulate using a gait belt The client states, "I'm feeling a bit nervous today." 2. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. 3. I'm drinking plenty of fluids." 3. a. What was the rationale for this plan? Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. This invasive procedure results in some edema to the vessel used for the procedure but assessing only one pedal pulse does not provide sufficient data to verify a complication. Correct: The UAP can remind the client to do something that has already been taught by the nurse. 3. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Thus they are kept in charge of basic patient care like administration of tests, medicines and proper provision of the required treatment. In which situation should the nurse consult the client's advanced directive? c. I'll clean the inside of the container with a wipe A nurse is discharging a client who has come to the outpatient clinic with an ankle sprain. For which of the following tasks should the nurse wear protective eye equipment. 1. 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. 208 It's unfortunate that I have to be in the hospital for this treatment They are more direct when discussing issues a. Broth 2. Drag and Drop the items from one box to the other. 3. 3. Well, do you see the q.d.? a. Therefore, this client would not be a priority over a client who may be experiencing a MI. b. Temporary urinary retention The client asks the nurse, "Why do I need that? d. Go to employee health services, b. 1., 2., 3., & 4. Select all that apply 2. A family member requests that the nurse apply restraints. 1. IV of D5 NS at 75 mL/hour with a 20 gauge catheter. 77. The charge nurse identifies that three admissions were received during the night shift, one nurse has called in sick, and the clients on the unit have high acuity levels. 6. Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. This template is beneficial for nursing students and veteran nurses alike, and can be used in any unit. Report of feeling pressure 3. What action should the nurse take after mistakenly administering the wrong medication? A nurse is caring for a client within the intimate zone of the client's personal space. c. Assist the client to the floor and begin mouth-to-mouth 3. Incorrect. American Sickle Cell Anemia Association Which of the following actions is the nurse's priority? Allow the UAP to work without supervision. 5. Who should the nurse see first? Hearing loss Vital sign measurement Prepare a list of clients who could quickly be discharged or transferred. d. They disclose more personal information, a. What client should the nurse assess first? A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Bargaining Client who has multiple injuries from a motor vehicle accident. c. Contact The other options may be correct but are not the best first action. Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. is a new graduate in orientation. 1. Incorrect: This is not completely practical for everyone. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. A nurse wants to find out a better way to perform oral care on unresponsive clients. A nurse is caring for a client who is scheduled for an elective surgical procedure. 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. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Refuse the overtime assignment, being prepared for disciplinary action. a. d. Counting radial pulse 1. When a family member asks how respite care can help, which of the following responses should the nurse provide? They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. 3. 2. A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. Charge nurses have integral roles in healthcare organizations. A nurse is providing care to a client who is on strict bed rest following surgery. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. What should the nurse do first? Observe the client before taking further actions The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. a. 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. b. 4. 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. The nurse caring for the client at the time of death requests organ donation Client assignments are based on client acuity and nurses do not necessarily have the same number of clients. 2. 3. Feedback But the client does need to be assessed prior to the client with Crohn's disease who is improving. Which of the following sites should the nurse plan to use to obtain the blood specimen? This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. Where on the body is each type of skin found? 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 The nurse has just completed a 12 hour shift. The client is apparently stable and does not require any advanced assessment skills or specialized care. 3. a. 4. Which client would be appropriate for the RN to assign to the LPN? Talk to each nurse about concerns related to assigned clients. The nurse is using which level of communication at this time? _____The house that we lived in for nine years has been sold. 3. 4. Because the charge nurse observes and weighs . Describe the types of machining operations that can be performed on a lathe. & 6. Plan all care to be completed in early morning to allow afternoon for visitation. a. Auscultate breath should at least ever 2 hr a. 2. c. Review the client's progress toward personal objectives Incorrect: By encouraging the client to be more cooperative, the nurse is denying the client's feelings and concerns. Correct: The client who has a cast and requires pain medication is a stable and predictable client. . A nurse is caring for a client who frequently attempts to remove his IV catheter. 3. 1. a. a. 2. The client reports constipation for 4 days which may be an indication of worse problems. c. I will inspect my crutches everyday for signs of wear a. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Based on the information provided in report, which client condition should be the nurse's priority? 1. 1. Incorrect: This group of clients needs specialized care. c. I will place an area rug at the entry of my bathroom A nurse who is breastfeeding her 4 month old. 4. Client eating a simple-carb snack due to weakness. All these clients have a GI problem. c. Take the client to the bathroom every 2 hr Select all that apply. 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." 1. This task cannot be delegated to the LPN/LVN. c. Consensus evolves in this stage c. Gender The nurse voices his concern to the charge nurse. Give magnesium citrate 296 mL at 3 PM today. c. Foot Which of the following of Erikson's developmental stages should the nurse consider in the planning? 5. a. d. Respite care is a continuation of psychological support after a family member dies. A nurse is assessing a client who is experiencing prostatic hypertrophy. The LPN can monitor the wound and provide care to the PEG insertion site. c. imaginary 3. What would the approximate meaning of photoelectric be, based on these root words? Client diagnosed with Crohn's disease who had three semi-formed stools over the past shift. A nurse in a long-term care facility is caring for an older client who has dementia and begins to have frequent episodes of urinary incontinence. 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. This referral would be appropriate. Which of the following interventions should the nurse include? d. Expect minor discomfort after the procedure, b. I will come back later and we can talk (offers herself to client which encourages open communication). A nurse is prioritizing care for two clients at the start of the shift. The LPN/LVN can reinforce teaching. One nurse lifting as the client pushes with his feet d. Anger, b. A nurse is planning care for a female client who has an indwelling urinary catheter. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection.
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