Incorrect: The RN is responsible for teaching. The first vital sign check was performed by the nurse. 4. 2. However, there are some basic points which are standard among all facilities. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. a. Bathe a client who had an amputation 2 days ago 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. Jooble - LVN Charge Nurse - SIGN-ON BONUS $2500 Airborne Read all the current literature related to oral care on unresponsive clients. Nothing will get passed the complete blockage. 4. The nurse also needs to be aware of the color and amount of urine voided. Elderly client admitted 30 minutes ago with reports of constipation for four days. 2. A nurse is engaging in relationship counseling with a male client. 4. a. Decreased or suppressed respiration are priority. 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. Education The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. Which of the following findings should the nurse expect? 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. Incorrect: Most adults have already been exposed to the virus and are not at risk for adverse effects of the infection. c. Take the client to the bathroom every 2 hr b. Summarization This center functions as 'information central', where all plans or activities are coordinated and determined by those personnel. 1. Wears a gown when entering the room of a client who requires contact precautions 3. b. 3. b. Which of the following items should the nurse offer the client? 4. Hormone replacement does not affect the immune system and, therefore, this nurse is not at risk for infection from CMV exposure. 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. 2. which client would be most appropriate to assign a licensed practical nurse (lpn)? d. Test the pH of gastric aspirate, d. Determine if the client uses hearing aids, 86. Solved A charge nurse is making client care assignments. | Chegg.com The charge nurse needs additional information to make a decision. 3. c. Gender Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list., The charge nurse is preparing the patient care assignments for the day shift, assigning clients to a LPN/LVN and a certified nursing assistant (CNA). A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. 2. A special protein, called intrinsic factor (IF), binds vitamin B12 so that it can be absorbed in the intestines. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? b. I will call the doctor and get the prescription Placing a washcloth in the bathroom sink prior to cleaning. Correct: A medical-surgical LPN would likely have seen and cared for diabetics on the floor, including checking fingerstick blood sugars and injecting insulin. c. We administer all medications intravenously to clients in this unit Select all that apply b. Check environment for potential safety hazards. 1. Besides yourself, there are the following staff: Your unit has 12 beds. b. Total abdominal hysterectomy, bladder suspension with A&P repair, client with breast reduction. A charge nurse is making client care assignments for the day. which Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand). a. Feedback Which of the following actions is the nurse's priority? c. Palpating for pedal edema 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. 1. a. Bathtub with rails Drag and Drop the items from one box to the other. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. 3. Select all that apply A nurse working on the pediatric oncology unit is beginning the shift and has received report which included some new laboratory data for the clients. c. Review the client's progress toward personal objectives The nurse should not assume that the UAP just did not do their job, but needs to ascertain the reason for not feeding the client. c. The client's culture c. Provide the client with a diet high in protein (d) AgCl(s)Ag+(aq)+Cl(aq);K=1.81010\operatorname{AgCl}(s) \longrightarrow \mathrm{Ag}^{+}(a q)+\mathrm{Cl}^{-}(a q) ; K=1.8 \times 10^{-10}AgCl(s)Ag+(aq)+Cl(aq);K=1.81010. Describe the types of machining operations that can be performed on a lathe. This includes medication enemas. "The client is weak on the right side, so please assist the client with dressing . The cause of the fall may be cardiac, but the question does not indicate this. Charge nurses have integral roles in healthcare organizations. Discuss the issue with the leader of the "best practices" committee. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen (nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results), 56. Two hours . }? benefactor of the world. b. Perform range of motion (ROM) exercises at least 2-3 times daily Explore the client's feelings d. I decline this opportunity at this time, b. Remember, pick the killer answer first! The third client that should be assessed by the nurse is the client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. Solved 4. A charge nurse is making client care assignments. | Chegg.com Correct: A thoracentesis is performed to remove fluid from the pleural cavity and improve the client's respiratory status. The client can indicate desire for Do Not Resuscitate (DNR). The nurse can also accept the assignment; however, that nurse should document professional concern for client safety and the process you used to inform the facility (manager) of your concerns. Make referrals to community services. b. Assigning tasks to an AP d. When asking if the client took his medications this morning, 82. 3. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. The client says, "go away, no one can help me." Inform the client of the need to avoid irritants such as carbonated beverages. Draining the colostomy bag on a client with diarrhea. The nurse should perform which of the following activities in this space? Encourage the client to use self-exploration A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. (SATA) -Bathing a client who had an amputation 2 days ago. 10. c. Tie linen bags securely at the top Lumbar puncture reporting a headache. 4. Which of the following info should the nurse include? c. Discard the tablet and obtain another dose of medication Reporting laboratory findings to a member of the client's family 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. This client would be the priority based on the need for prompt recognition and treatment of the neutropenia and signs of infection present. A float nurse arrives on the unit to assist in the care of clients for the shift. Asking for an explanation A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. Gather supplies to prepare room for isolation. c. Shivering It is quicker to administer medications intravenously in the hospital Which of the following instructions should the nurse give to the client prior to the procedure? c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures 3. We see that the temperature is already elevated, which makes us worry that infection is present. c. imaginary 2. Administering 3 g/hr IV of morphine would be extremely dangerous. 4. Collecting I & O totals for unit clients at the end of shift. Teaching insulin self administration cannot be delegated to the LPN. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? e. Throw rugs, d. I will take my medications at the first sign of an attack, 41. Select all that apply The nurse should assess the client for which of the following expected outcomes after catheter removal? 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. Which of the following actions is an example of a violation of confidentiality? c. Interpersonal (interpersonal communication is face-to-face interaction with another person. Which of the following actions should the nurse take? The supervisor can only send one LPN/LVN to the floor. Charge Nurse II- CNII - jobs.freseniusmedicalcare.com Select all that apply. b. 4. d. Reflection, c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation), 37. Correct: Assisting clients with activities of daily living are within the UAPs scope of practice. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. c. I will place an area rug at the entry of my bathroom a. c. Nonfat milk Incorrect: This group of clients needs specific teaching. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day A nurse is prioritizing care for two clients at the start of the shift. a. & 5. Checking capillary refill beneath the client's fingernail Correct: The nurse should recognize that this child has a very low absolute neutrophil count (ANC), which is referred to a neutropenia. What action should the nurse implement first to ensure client safety?