4. Gather and apply dressings to open wounds. b. Which of the following activities should the nurse perform in this zone? b. A charge nurse role includes front line nurse supervisor, resource nurse, bed manager, peer reviewer, patient advocate, other charge nurse duties, and staff scheduler. The nurse should not lecture, scold or argue with the float nurse. d. Providing information, a. c. Nonfat milk Which of the following actions should the nurse take to assist the client with feeding? The first vital sign check was performed by the nurse. d. Establishing the client's secondary medical diagnoses, b. An Advance Directive includes a Living Will and a Medical Power of Attorney. a. c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day Two hours . This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. a. Clarifying Which referral would most likely be appropriate for the nurse to make? }? benefactor of the world. Client reporting epigastric pain and nausea after eating. b. Summarization 3. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provide a between meal supplement to the client. In which situation should the nurse consult the client's advanced directive? b. A nurse is planning care for a female client who has an indwelling urinary catheter. A 10 year old school-age child would also be more cooperative, making it easier for the LPN to interact with that client. Incorrect: The RN is responsible for developing the plan of care which would include necessary referrals. The second client that needs to be seen by the nurse is the client having weakness, a sign of hypoglycemia. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. This client would not be a priority to be seen before assessing the client with the cast that is too tight who may be developing compartment syndrome. 2. Teaching insulin self administration cannot be delegated to the LPN. Which action by an unlicensed nursing assistant would require the nurse to intervene? Dentures should be stored in a denture cup. one of the licensed practical nurses Get the answers you need, now! b. A nurse is caring for an older client who is at risk for skin breakdown. c. The emphasis is on the client's complete recovery from the illness or injury Which preoperative prescription should the nurse question? The RN will also need to be in communication with the assisted living facility to ensure that they have are a support system for the patient and her follow up care with her pacer. The area surrounding the insertion site feels warm to the touch 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. Accept assignment, documenting personal concerns regarding work conditions. This is not a situation that requires the LPN to notify the primary healthcare provider. Determine caregiver's stress level and coping strategies. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? A school-aged child with a fractured femur who is in balanced suspension traction. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. 3. Warm the feeding solution to the body temperature Have a pen and paper handy Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. b. Which of the following tasks should the nurse delegate to assistive personnel (AP)? Incorrect: This client is exhibiting early signs of increased intracranial pressure. Denial Evaluate client's safety risk factors. Drag and Drop the items from one box to the other. b. I will bear the weight of my body on my hands Explore the client's feelings A client on a surgical unit frequently quarrels with the staff. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Check environment for potential safety hazards. 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. A nurse is administering a cold therapy application to a client. 1., 2., 3., & 4. Incorrect: The charge nurse should first obtained the needed information and then decide whether to notify the nursing supervisor. Which of the following info should the nurse include? Select all that apply 3. c. I should purchase a carbon monoxide detector for my home A newly hired nurse in a long term care facility has been asked to assist with revising old policies regarding family visitation schedules. Which of the following findings associated with urinary retention should the nurse expect? b. However, it remains true pain for this client and the client would need intervention to help manage this pain. Encourage client to express grief related to loss of independence. c. Consensus evolves in this stage a. I'll apply ankle to my ankle today and tomorrow ESSENTIAL FUNCTIONS: Provide the best possible nursing care by planning, organizing, and directing the nursing functions of patients in the unit. Temporary urinary retention The client post PEG placement is stable. c. Assist the client to the floor and begin mouth-to-mouth 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. A family member requests that the nurse apply restraints. A client with fibromyalgia reporting generalized pain of 7 out of 10. A nurse is assessing a client who has narcolepsy. In which harmonic number n is the string vibrating? d. Slap the client on the back several times, a. Bathe a client who had an amputation 2 days ago Turn on local news for up-to-date information on the train derailment. Which of the following instructions should the nurse give to the client prior to the procedure? Stand directly in front of the client Decreased RBC production What proposal would the nurse determine to best meet the needs of families and clients in long term care? 4. Incorrect: Dealing with a client's emotional state requires a formative evaluation to gauge readiness and requires the knowledge of the RN. American Sickle Cell Anemia Association Answer the following question to test your understanding of the preceding section: 4. Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. Which tasks would be appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? For which of the following actions should the nurse intervene? Which of the following pieces of PPE should the nurse remove first? Select all that apply Assist a client to ambulate using a gait belt Incorrect: This again is assessment which is the role of the RN only. Discarding the first urine voided by the client starting a 24 hour urine test. 4. Which of the following communication techniques should the nurse use during this phase? 3. Nurses dependent on drugs or alcohol can harm clients. Which client should be assigned to a nurse who was pulled from a medical unit to the neurological unit? 4. Of my three brothers and sisters, my sister Giselle has the best sense of humor. 4. a. I will be able to tell how much oxygen I'm getting by looking at the flowmeter Select all that apply Client who received blunt abdominal trauma in a motor vehicle accident who is reporting a worsening of the abdominal pain. Allow the UAP to work without supervision. 4. All these clients have a GI problem. Incorrect: The scope of practice for the UAP encompasses basic personal care needs, ambulating, and taking vitals; however, the nurse must still verify that all tasks are accomplished in a safe manner. 1. 4. Select all that apply. Patient safety must remain the priority. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. c. Confrontation c. Environment A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. c. Discard the tablet and obtain another dose of medication 3. The supervisor can only send one LPN/LVN to the floor. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. 4. The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. 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. d. Wait to discuss the behavior in the presence of others, a. 1. (c) Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108\mathrm{Ba}^{2+}(a q)+\mathrm{CO}_3^{2-}(a q) \longrightarrow \mathrm{BaCO}_3(s) ; K=3.8 \times 10^8Ba2+(aq)+CO32(aq)BaCO3(s);K=3.8108 Involve the client in their plan of care. c. Depression A client requesting assistance packing his belongings for discharge later today.. A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints. The client with cystitis is stable and has a predictable outcome. 8. Battery Charge nurses have integral roles in healthcare organizations. b. Verbalize understanding of how the client feels What is the best first action for the nurse to take in order to achieve this goal? d. When asking if the client took his medications this morning, 82. 2. Incorrect: The nurse retains the responsibility for the delegated task. Which of the following interventions should the nurse include? Which of the following info should the nurse include? Sit side-by-side with the client 3. Correct: The only procedure listed that is within the LPN/LVN's practice range is changing the colostomy bag. This service focuses on teaching the primary caregiver to meet the client's needs a. If the volume of the bucket is 4.67L4.67 \mathrm{~L}4.67L, how many grams of gold are there likely to be in 2.381032.38 \times 10^32.38103 cubic feet of soil? 3. Notify the board of nursing (BON) that the float nurse is an alcoholic. Administer tap water enemas until clear at 6 AM. Determining the client's length of stay Twist at the waist when she moves an object to one side 2. d. Question the charge nurses about the care deficits that might have contributed to the ulcer's development, b. The LPN should refuse the intervention. The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" d. I have a set of my brothers' crutches in the basement I can also use, a. a. Select all that apply. The nurse should initiate a referral with which of the following members of the interprofessional health care team? Call the client's provider Incorrect: There are situations in which the LPN must notify the primary healthcare provider.