Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Which response by the LPN is appropriate in response to the inappropriate delegation? c. Blood-tinged urine We do not know the extent of her injuries based on what the option tells us. This can prevent harm to client's. 3. c. The emphasis is on the client's complete recovery from the illness or injury 3. Incorrect: When a unit is very busy, the nurse should rely on the UAP if the person is competent to perform the tasks. Assist client to brush and floss teeth. 4. Drag and Drop the items from one box to the other. Use double bagging to remove soiled linen from the client's room What is the best first action for the nurse to take in order to achieve this goal? 3. If the decimal point is missed in this situation, the client could receive 5 mg instead of the intended dose of 0.5 mg of risperidone. d. Let's wait until tonight to see if he continues his behavior, 63. b. eminent Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. Comatose client with end stage chronic obstructive pulmonary disease. b. Emptying a urinary drainage bag for a client who has pneumonia A client requesting assistance packing his belongings for discharge later today.. a. The best practice committee works to improve clinical practice based on current research. A nurse is providing discharge teaching for a client who requires home oxygen therapy. A client with atrial fibrillation currently on a diltiazem drip. When determining if the client is eating a well-balanced diet 1. Which of the following interventions should the nurse include? Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? 3. Correct: Nurses must immediately report all client care issues, concerns or problems to the supervising nurse, the primary healthcare provider and/or the performance improvement or risk management department. a. 2. a. Removing the client's dentures 4. d. Use attentive listening with the client, d. Water heater temp 54.4 C (130 F) (no higher than 49 or 120) Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Which of the following actions should the nurse take? Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. c. Can you tell me why you chose me? b. a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Correct: Advance directives do consist of two types of legal documents: Power of Attorney and a Living Will. 2. Place in priority order. A nurse is administering a cold therapy application to a client. d. I decline this opportunity at this time, b. Semi-formed stools are great news! c. 214 e. Suctioning a client's new tracheostomy tube, 93. Delegate 2 nurses to work with the client. a. 212 The key word in the stem is first. Client diagnosed with inoperative brain tumor who is confused. A nurse is preparing to obtain a blood specimen from a client by venipuncture. which client would be an appropriate care assignment for this lpn? The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. a. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. d. Highly concentrated urine, 91. When handling any disaster, a facility must have a "command center" that is operated by outside personnel such as a Fire chief, Police, Swat or other outside emergency persons. 4. Incorrect: The charge nurse does not have to assess every client. c. Review a low-sodium diet for the client who has hypertension Client reporting a headache and has a fruity breath. Incorrect: Since this client has an obstruction, anything the client eats will not be able to come out. _________________ (magnanimous), a. generous Select all that apply. It can result in muscle spasm and tissue damage. Which of the following sites should the nurse plan to use to obtain the blood specimen? Select all that apply The supervisor can only send one LPN/LVN to the floor. 1. c. Visual observation for nonverbal signs of pain Initiate oxygen and IV lines as needed. a. A nurse is caring for a client who frequently attempts to remove his IV catheter. 2. The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. A client diagnosed with terminal cancer wants information about an Advanced Directive for end-of-life care. 4. Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. 3. Which of the following statements should the nurse identify as an indication that the client needs further teaching? 2. Which of the following findings should the nurse expect? 2. This client could be transferred with traction still maintained. Question: A charge nurse is making client care assignments. Notify the charge nurse of the observations. Remind the client to tell the nurse when he has to urinate 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 client requesting assistance packing his belongings for discharge later today., 4. 1. Incorrect: The client does need to be cleaned out below the tumor so that the primary care provider can see the area of concern and complete the biopsy. a. I will wear gloves when removing food from the freezer Empty the drainage bag at least every 8 hrb.) d. Explain oral hygiene to a client receiving chemo The nurse chooses to confront the client. d. Custard a. Incorrect: Is phantom pain something that is unexpected with above the knee amputations? c. Decreased sodium excretion (Select all that apply.). The LPN can monitor the wound and provide care to the PEG insertion site. A nurse is assessing a client who is experiencing prostatic hypertrophy. What interventions can the nurse delegate to the LPN/VN? A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. Underline the adjective clause in each sentence. 1. Administering IV pain medication to a two day post op client. A client post pacemaker insertion, awaiting discharge instructions. 2. Covering open wounds will help to decrease bacterial exposure until the registered nurse or primary healthcare provider can assess and treat each wound. Which of the following instructions should the nurse include? What would the approximate meaning of photoelectric be, based on these root words? Wrapping the dentures in tissue while the client sleeps Correct: The hospital nurse to client staffing ratio should reflect the complexity of nursing care for high acuity clients. d. Lean back in the chair, b. 3. This is an appropriate and safe action for the unlicensed nursing assistant to do. This is outside the scope of practice for the LPN/LVN. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. Explain to the RN that all the nurses have the same number of clients. Incorrect: The charge nurse cannot change the scope of practice for the LPN by evaluating the intervention. d. Arrange the food groups clockwise on the client's place, b. I'll use the cleansing wipes from the front to back, 51. Licenced practical nurses are a little less educated than registered nurses. Sudden attacks of sleep c. Open the right flap with the left hand 3. 2. b. I'm so sorry to hear about this This is a diabetic clinic. 6. They are able to manage tasks related to basic care. Incorrect: This prescription is written correctly. The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. Which of the following tasks should the nurse delegate to AP? d. Discussing intake and output 1. 3. Which of the following actions should the nurse take? c. Rephrase statements the client does not hear Which of the following actions should the nurse include in the plan? Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. 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. Incorrect: The RN is responsible for developing the plan of care which would include necessary referrals. Which of the following instructions should the nurse include? Which of the following actions is an example of a violation of confidentiality? Review a low-sodium diet for a client with hypertension. 3. b. Assess the client 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 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. The client was lying on the floor next to his bed This schedule may leave some clients too exhausted to visit with family. What action should the nurse take after mistakenly administering the wrong medication? d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage Incorrect: No, the monitoring is too specific for the med-surg nurse. 1. Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. This action is a defensive intervention, and does not address the quarrelsome behavior. A nurse is preparing medication for a client when another client has an emergency. 2. Anyone over age 18 can have an Advanced directive. d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. 1. He charge nurse is making client care assignments for the evening shift. The nurse would then start the 24 hour urine once the 1st void has been discarded. 4. b. Tenderness over the symphysis pubis Teaching insulin self administration cannot be delegated to the LPN. Which instruction provided by the nurse reflects effective communication regarding delegation to assistive personnel? 3. Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. a. Which of the following statements should the nurse identify as an indication that the client understands the discharge information? 3. d. Move to the opposite side of the pack and open the fourth flap, 54. Which of the following activities should the nurse perform in this zone? Based on this information,what should the nurse do? 3. Briefly assess every client. Which prescription should the nurse question and have corrected? A client with exacerbation of COPD reporting dyspnea. A charge nurse is making client care assignments. Gather supplies to prepare room for isolation. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. A new UAP is efficiently completing all daily assignments accurately and in a timely manner. 4. 7. Incorrect. Incorrect: Although this action appears to be opening lines of communication, the nurse manager is actually fostering animosity in a situation where the outcome is already predetermined. 4. Select all that apply. Monitor for behavioral changes. c. They tend to use more verbal communication Incorrect: The wash cloth is placed in the sink to prevent the dentures from breaking if they are dropped. It would not be appropriate to overload this new employee with extra work. Injuries from a motor-vehicle accident can be life threatening. A nurse instructs a female client about collecting a midstream urine sample. This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. 2. Nurse-patient assignments help coordinate daily unit activities, matching nurses with patients to meet unit and patient needs for a specific length of time. Which task would be appropriate for the nurse to assign to an unlicensed assistive personnel (UAP)? 5. The women's health charge nurse is making assignments for the next shift. 4. a. Review the action of insulin therapy c. Paraphrasing a. Places the soiled linen in the floor before bagging it Describe the types of machining operations that can be performed on a lathe. There are a total of 10 adult clients. A client diagnosed with rheumatoid arthritis needing discharge teaching. 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. 3. 1., 2., & 5. Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously.
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