It is an inherited form of anemia, a condition in which there aren't enough healthy red blood cells to carry adequate oxygen throughout the body. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. (Select all that apply.) 212 A nurse is caring for a client who is postoperative following abdominal surgery. C-section planning discharge, postpartum infection, mastectomy. Which group of clients should she assign to the medical surgical nurse? Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. Although this will require assessment, this client is not the priority at this time. In planning care for the post-operative client, the nurse has decided to retain the task of vital sign assessment. 2. The first client who needs treatment is the one with multiple injuries from a motor vehicle accident. Which of the following instructions should the nurse give to the client prior to the procedure? c. Distended bladder d. Services are centered in long-term care facilities, a. nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. 1) Bathe a client who had an amputation 2 days ago. The charge nurse knows what client would be most appropriate for this LPN? 3. 1. Delegate 2 nurses to work with the client. b. I'll use the cleansing wipes from the front to back The third client that should be sent back for treatment is the female client stating she has been raped. Relax her abdominal muscles when she lifts an object 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. It happened so long ago - just get over it!" 1., 2., 3., & 4. Select all that apply. c. Rephrase statements the client does not hear Which of the following actions should the nurse take? Which of the following actions indicates that the AP understands the principles of infection control? Administering IV pain medication to a two day post op client. b. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. Thus, the tasks involve successful management of the charge nurse's responsibilities. 3. Dentures should be stored in a denture cup. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? 5. However, it remains true pain for this client and the client would need intervention to help manage this pain. 1. This stage is when testing occurs to identify boundaries of interpersonal behaviors 4. Discuss the issue with the leader of the "best practices" committee. Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. This service began with the client's admission to the hospital c. Hallucinations at the onset of sleep A nurse is admitting a client from a long-term care facility. 2. b. Assess the client a. A charge nurse is making client care assignments. a. Shakes the soiled linen to remove any toilet paper remnants Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). b. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? This is outside the scope of practice for the LPN/LVN. c. Use an aggressive tone of voice Charge Nurse - RN | Fresenius Karriere 3. 3. A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. (Select all that apply.). This is on the "Do Not Use" list of abbreviations because the period after the "Q" can be mistaken for "I", which would be interpreted as qid (four times a day) instead of the intended once daily dosage. c. Behaving defensively When determining if the client is eating a well-balanced diet 3. Client one day post kidney transplant. Correct: The LPN has the right to refuse a delegated intervention that is not within the scope of practice for the LPN. 5. 1. Which of the following responses should the nurse make? 1. Correct: The UAP can remind the client to do something that has already been taught by the nurse. There are a total of 10 adult clients. Documentation is a communication tool for the interprofessional health care team. Which of the following instructions should the nurse include? Taking the report from the ED could be delayed but is a courtesy to the ED and will provide information about the client that will be useful in making assignments for the next shift. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. The charge nurse is planning the staff assignments for the clients on a neurological unit. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. d. I decline this opportunity at this time, b. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? 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 c. Respite care helps relieve pain and promote comfort Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. The nurse should call for immediate help so that a safe care environment is maintained for all clients. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. The client reports constipation for 4 days which may be an indication of worse problems. This would be out of the UAP's scope of practice. Incorrect: The nurse retains the responsibility for the delegated task. d. Ambulating the client in the hallway, c. Explore the client's feelings about dietary modifications (this teaching intervention allows the client to express his acceptance of this change and focuses on affective learning), 80. NURSING ASSIGNMENT- delegation in the workplace | Studymonk A nurse is orienting a new assistive personal (AP) to the unit. The UAP can assist clients with hygiene care, so it is within the scope of practice for the UAP to assist a client with a sitz bath for the postpartum client. When staff do not feel vested in any new process, there is a sense of underappreciation. Which of the following actions is the nurse's priority? A school-aged child with a fractured femur who is in balanced suspension traction. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? Injuries from a motor-vehicle accident can be life threatening. 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. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following interventions should the nurse include? 3. Incorrect: The client who was diagnosed with rheumatoid arthritis will need discharge teaching and may be wanting to go home quickly, but this client would not take precedence over the client with the cast that has become too tight. 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. Gather supplies to prepare room for isolation. Those residing in long term care facilities benefit greatly from time spent with family or even older friends. This action is a defensive intervention, and does not address the quarrelsome behavior. e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. 1. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. 1. This will take a lot of time, and the charge nurse can get the information needed from the nurses caring for the clients in order to make appropriate client assignments for the next shift. Correct: An LPN/LVN's scope of practice includes tasks such as wound care. Incorrect: The client does need to have food; however, there is another action that should be performed first. 5. 2. 4. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. 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. A nurse is caring for a client who frequently attempts to remove his IV catheter. Which region of the tRNA pairs with mRNA? This may result in several health problems including arrhythmias, an enlarged heart, heart failure, infections and bleeding. Currently, your census is 11, with one empty bed. Incorrect: A colostomy client with diarrhea will have a lot of drainage requiring frequent emptying of the colostomy bag. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. Practice Leadership Exam for Nursing - A charge nurse in an - StuDocu The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Teaching is not in the role of the LPN and therefore, this client would need to be assigned to the RN, not the LPN, for the teaching needs of the client. Pick up the tray and tell the UAP that they didn't do a good job. a. This could be devastating to the client if the decimal point is missed and the client receives 200 mg instead of the intended 20 mg of lisinopril. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. An LPN/VN has been floated to the emergency room following a chemical plant explosion. Correct: The clue that should be picked up on here is that the client is now reporting that the cast has become too tight. a. a. 5. a. Removing the client's dentures Which of the following actions should the nurse include in the plan? The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" c. I'll need to shave the hair off the skin where I place the electrodes 2. Refuse the overtime assignment, being prepared for disciplinary action. All these clients have a GI problem. Incorrect: Medications are not transferred with the client to a new facility. Which tasks should the charge nurse complete at the end of the shift before leaving for the day? c. Provide the client with a diet high in protein The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. Notify the primary healthcare provider of transfer completion. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Each ROM movement should be repeated 5 times during the session. The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data.