Correct. The RN with 10 years' experience pulled from the ER. A nurse is implementing direct nursing care for a group of clients in an acute care facility. b. Drag and Drop the items from one box to the other. 2. Which of the following info should the nurse include? ATI Leadership and Management Questions - Leadership Management of Care Client reporting epigastric pain and nausea after eating. What proposal would the nurse determine to best meet the needs of families and clients in long term care? c. Behaving defensively A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Give magnesium citrate 296 mL at 3 PM today. This determination is needed to assure client safety is being considered. This service began with the client's admission to the hospital, 18. a. I will keep spare crutch tips handy Each ROM movement should be repeated 5 times during the session. 2. Handoff and Nursing Report Sheet. However, providing care for missing teeth would also be within the LPN scope of practice. Two hours . A client receives a wrong medication. d. Identity vs role confusion, b. Assigning tasks to an AP (delegation is considered indirect care), 13. Narrative interaction d. Talk with the client's partner, b. A client with COPD complaining of shortness of breath on exertion. 1. Incorrect: The RN is responsible for assessment and evaluation. 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. (Select all that apply.). The nurse is planning care for a client admitted with Alzheimer's Disease. Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. Which of the following findings associated with urinary retention should the nurse expect? 4. Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. d. Highly concentrated urine, 91. 1., 2., 3., & 4. c. I will make sure my visitors smoke outside Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. c. Contact Assist a client to ambulate using a gait belt. Cardiac catheterization with a decreased pedal pulse below insertion site. Nursing Brain Sheet 4 Patients - luoe.expertoendermatologia.es b. Most of the following sentences contain errors in the use of modifiers and comparisons. a.) Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? The client asks the nurse, "Why do I need that? 5. The client asks about his medications and their effects. b. Verbalize understanding of how the client feels Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. A charge nurse is making client care assignments. Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. the nurse responds, "don't worry, no one will harm your family." Incorrect: Is phantom pain something that is unexpected with above the knee amputations? 2. c. Review a low-sodium diet for the client who has hypertension d. Breathing in carbon monoxide can cause headaches and nausea, c. Take the client to the bathroom every 2 hr (this establishes a regular pattern of toileting and the client learns to trust that the staff will place value on his bladder-training needs), 59. The client can indicate desire for Do Not Resuscitate (DNR). The LPN can monitor the wound and provide care to the PEG insertion site. d. To identify delayed gastric emptying, a. Auscultate breath should at least ever 2 hr (priority action the nurse should contribute to the plan of care when using the ABC approach to client care in auscultating breath sounds to determine the client's need for suctioning; with inactivity, secretions can pool in the airways, diminishing breath sounds and causing crackles and dyspnea), 43. Clients are frequently admitted to a medical unit with a diagnosis of seizures and prescribed an anti seizure medication. The charge nurse needs additional information to make a decision. Remove all metal necklaces Vital sign measurement 1. 3. Decreased RBC production _____The house that we lived in for nine years has been sold. Allowing staff to vent is acceptable but the nurse manager should focus on constructive methods of adjustment to the impending mandated changes. This would be out of the UAP's scope of practice. Which of the following info should the nurse include? Placing the traction weights on the bed to transfer the client to x-ray. 2. Suggest splitting the shift with another nurse. 1., 2., 4., & 5. Make referrals to community services. Observe the client before taking further actions b. Providing hygiene care to a client who is HIV positive This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. 1., 4., & 5. This situation requires an immediate neurovascular check to determine if intervention is needed to relieve the pressure and restore circulation. A nurse is engaging in relationship counseling with a male client. c. The client was restless and trying to get out of the bed all evening Elizabeth Young BSN, RN-OCN - Registered Nurse - PIEDMONT CANCER 5. Which of the following statements should the nurse identify as an indication that the client needs further teaching? Which of the following should the nurse include as a criterion for applying restraints? PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. As part of an annual physical examination a nurse is preparing a client to undergo a chest x-ray. b. Which of the following actions is the nurse's priority? Secondly, staff will be far too busy to watch television or listen to the radio with all the activity occurring hospital wide. This is an elderly client who is a new admit. Which of the following types of torts has the nurse committed? Something new could have occurred with the clients, making the assignments too heavy. a. Twist at the waist when she moves an object to one side e. Suctioning a client's new tracheostomy tube, 93. d. Reduced blood viscosity, a. Auscultating heart sounds The nurse voices his concern to the charge nurse. A skill for which the ap has received instruction the - Course Hero a. Assess personal level of fatigue prior to making a decision regarding accepting or refusing assignment. a. In this situation, it is not a matter of the nurse preferring to take all the vital signs, but the nurse needs to know the competency level of the UAP before delegating this task. 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. c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider). 4. Notify the charge nurse of the observations. 5. What information should the nurse include? The nurse is evaluating care provided by an unlicensed assistive personnel (UAP). Which of the following actions should the nurse include in the plan? They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. The nurse has another priority. Incorrect: This option would create total chaos, interrupting sleep patterns and staffing schedules. 2. 3. Of my three brothers and sisters, my sister Giselle has the best sense of humor. The client receives home health care and spends most of his day in a reclining chair. b. I will bear the weight of my body on my hands a. 2. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. d. Social conversation, 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 Encourage client to express grief related to loss of independence. Refuse the assignment, being prepared for disciplinary action. b. Pick up the tray and tell the UAP that they didn't do a good job. Places the soiled linen in the floor before bagging it 2. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. b. Encourage the client to be more cooperative. There is a possibility of rejection, which means close assessments and evaluations are needed by the RN. a. Reposition the client every 3 hr 4. leadership management of care nurse on unit is providing care for group of clients. Select all that apply e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. c. Notify the nurse manager 3. The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration and reports a pain level of 6 on a scale of 0 to 10. The unit is short one staff member and will receive a nurse from the medical surgical unit. 3. Cystogram reporting burning on urination. 3. Read all the current literature related to oral care on unresponsive clients. Which of the following methods should the nurse plan to use? Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case), 29. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. Which of the following findings should the nurse identify as a safety risk? Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Correct: The client who has a cast and requires pain medication is a stable and predictable client. b. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. Based on these findings, to which of the following providers should the nurse request a referral for the client? The nurse is using which level of communication at this time? 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. Besides yourself, there are the following staff: Your unit has 12 beds. 2. Correct: Hot water may damage dentures so intervention is needed. 1., 2., 3., & 4. A nurse is caring for a client who states, "I have got to get out of this hospital! Which of the following is the priority action by the nurse? 3. 4. Which client should be assigned to the most experienced nurse? A nurse is planning to discharge a client who has quadriplegia to his home. The charge nurse of a step-down coronary care unit has 24 clients in varying degrees of cardiac rehabilitation. Take several shallow breaths during the procedure Two nurses lifting the client under the shoulders A nurse is assessing a client who is experiencing prostatic hypertrophy. INCORRECT: There is no information regarding how recent was the surgery or the degree of pain being experienced. Although this is a correct thing to inform the client, this teaching should be done by the RN and not delegated to the UAP. Respite care provides holistic support and care for a client who is terminally ill 1. 4. Speak to the UAP first and then decide if a between meal supplement is needed. a. A nurse is preparing to obtain a blood specimen from a client by venipuncture. 4. c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client). c. Assist the client to the floor and begin mouth-to-mouth Alcohol consumption increases the use of folates, and the alcoholic diet is usually deficient in folic acid. a. 2. 1. The nurse should not lecture, scold or argue with the float nurse. The primary healthcare provider may have suggestions but this is not the best first action.

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