which client would be an appropriate care assignment for this lpn? A nurse is developing a plan of care for a client who does not speak the same language as the nurse. This is a task that can be delegated to the LPN/LVN. d. Decreased calcium excretion, c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown), 27. A nurse is orienting a new assistive personal (AP) to the unit. Which clients should be assigned to the CNA? Estimate the number of Calories in two tablespoons of peanut 3. Changing a colostomy bag. The provider must renew a restraint prescription every 8 hr. 3. Client reporting epigastric pain and nausea after eating. This should not be delegated to the LPN/LVN. c. I will make sure my visitors smoke outside Also, making a surgical bed for the client returning from surgery is a basic procedure. 4. Focus on the client's present circumstances instead of his personal stories This client can wait until the others are treated. 2. 6. 1. Incorrect: Gloves should be worn to remove dentures and a gauze used to grasp the dentures. 4. ATI Leadership and Management Questions - Leadership Management of Care 5. b. Provide a between meal supplement to the client. Incorrect: The client does need to have food; however, there is another action that should be performed first. 4. 2. Because a scope is inserted through the urethra for this procedure, the client may experience burning or frequency immediately following this test. It contains a blank and is followed by four answer choices. Triage and assign color-coded tags to each client. b. a. A skill for which the ap has received instruction the - Course Hero *HURST REVIEW Qbank/Customize Quiz - Manageme, *HURST REVIEW Qbank/Customize Quiz - Adult He, *HURST REVIEW Qbank/Customize Quiz - Basic Ca, *HURST REVIEW Qbank/Customize Quiz - Fundamen, ***HURST REVIEW NCLEX-RN Readiness Exam 1***, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith. Incorrect: This is doing research, which requires the research process be implemented, including appropriate approval. b. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow), 21. b. Select all that apply. Which of the following instructions should the nurse include? Headache following this procedure is a potential side effect and would not be the priority concern for the nurse. d. Bend at the knees when picking up an object, 99. Hearing loss Correct: This client is at risk for respiratory depression caused by morphine and should be assessed. Electric cords behind the furnitrure a. a. Auscultate breath should at least ever 2 hr c. Respite care helps relieve pain and promote comfort Which of the following actions is the priority for the nurse to include in the client's plan of care? Select all that apply Which of the following is the priority action by the nurse? *HURST REVIEW Qbank/Customize Quiz - Leadership Which of the following tasks should the charge nurse reassign to a licensed nurse? 2. a. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. b. Lumbar puncture reporting a headache. Which of the following actions should the nurse perform when opening the sterile pack? 4. The client with chronic emphysema has expected shortness of breath. Injuries from a motor-vehicle accident can be life threatening. 1., 2., 3., & 4. 6. d. I decline this opportunity at this time, b. 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. This nurse does not have much experience on this unit and may not have cared for a client with postpartum preeclampsia before. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Incorrect: A slightly decreased pedal pulse to the affected extremity is not unusual following cardiac catheterization. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". Though it may benefit staff to have one particular goal, some clients cannot tolerate to have everything performed at one time, and instead need short rest periods during personal care. Which of the following responses should the nurse make? c. Raised toilet seats Only the state Board of Nursing can legally determine the LPN's scope of practice. This referral would be appropriate. The nurse could definitely be part of the committee. A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. Which of the following statements by the nurse would provide UAP with the best directions about an assignment? a. d. I shouldn't advice you about what is ultimately a personal decision, b. d. Place the tablet directly into a medication cup, 36. Elderly client admitted 30 minutes ago with reports of constipation for four days. Perform range of motion (ROM) exercises at least 2-3 times daily Correct: If suspicious behavior occurs, it is important to keep careful, objective records. 1. The client is getting better. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). Which of the following actions should the nurse take? A distance of 5.00 cm is measured between two adjacent nodes of a standing wave on a 20.0-cm-long string. Client with cast to right leg requiring pain medication. The RN with 10 years' experience pulled from the ER. a. Which of the following info should the nurse include? a. 3. d. I will wear synthetic clothing and woolen socks when using my oxygen, c. Check to see if the suction equipment is working, 74. The charge nurse is determining morning care assignments for several elderly clients awaiting discharge to an assisted living facility, including a client on bed rest with a skin tear and hematoma from a fall 5 days ago. This documentation should go to your manager. Place the client in a lateral position d. Swab an area of skin away from the wound to identify the usual flora, a. Elicit info from the client (obtaining info from the client is a component of orientation phase), 57. 2. Assist a client to ambulate using a gait belt. 1. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. b. Numbness The infusion rate has stopped but the tubing is not kinked The charge nurse on the postpartum unit is making assignments. b. Emptying a urinary drainage bag for a client who has pneumonia The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. a. b. It's just not the right time for me to do this A nurse receives a client care assignment from the charge nurse that he believes is unfair. Which of the following tasks should the nurse plan to delegate to assistive personnel (AP)? The nurse received a client following surgery 8 hours ago. 2. Correct: This group of clients is primarily med surgical. Which of the following should the nurse include as a criterion for applying restraints? Feedback 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. Briefly assess every client. A client with epilepsy reporting an odd smell in the room. Temporary urinary retention (common for clients to develop after removal), 90. Family cannot withdraw the Advance Directive and make decisions that go against the client's wishes made within the document. Draining of the bag is a routine toileting procedure for the colostomy client and.is within the scope of practice for the UAP. 1. 2. Point out inconsistences in the client's behavior a. Incorrect: Medications are not transferred with the client to a new facility. Which of the following types of torts has the nurse committed? Sit side-by-side with the client Two hours . c. Helping the client into the shower a. For Option #3, you may have recognized MgSO4 as being magnesium sulfate. A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. a. I will keep spare crutch tips handy b. eminent Moistening the dentures prior to inserting them Incorrect: Irrigating a client's ear canal is outside the UAP's scope of practice. Notify the charge nurse of the observations. Which of the following actions should the nurse take? e. Time, c. The nurse may serve as a witness to informed consent for organ donation (nurses may witness the consent for organ donation after a specially trained professional requests consent), 23. Which of the following RNs should not be assigned to this baby? Which action by an unlicensed nursing assistant would require the nurse to intervene? (Select all that apply.) 3. 2. 4. Invite staff to contribute ideas on scheduling changes. d. Perception a. Clarifying a. 3. 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. They have found my address and are coming for my family!" c. There is fluid leaking around the insertion site Client #3 is receiving heparin sub-q for deep-vein thrombosis, and sub-q injections are within the LPN's scope of practice. Prospectors are considering searching for gold on a plot of land that contains 1.31g1.31 \mathrm{~g}1.31g of gold per bucket of soil. b. Irrigate the wound with an antiseptic prior to obtaining the specimen d. I have a set of my brothers' crutches in the basement I can also use, a. 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. b. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. Which of the following instructions should the nurse give to the client prior to the procedure? 1. Which of the following responses should the nurse make? c. Take the client to the bathroom every 2 hr Female client stating she has been raped. Solved A charge nurse is making client care assignments. | Chegg.com A nurse who is on hormone replacement therapy. This client needs careful monitoring and specialized care. A charge nurse is making client care assignments for the day. which Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). Incorrect: While it is true that the nurse manager is ultimately responsible for implementing and announcing new schedule changes, doing so without any staff input can create discontent in the work environment. 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. A client with diabetes admitted for debridement of a foot ulcer. The worst complication following a thoracentesis is a possible pneumothorax; therefore, the nurse should assess this client first. b. 1., 3, & 4. a. Protective (clients whose immune system is compromised, such as from chemo, AIDS, or after a stem-cell transplant, require a protective environment), 97. The facility has insurance that will cover malpractice litigation Correct: Talking to the nurses about client concerns and completing the client assignment sheet for oncoming staff will provide for a thorough shift change report. The women's health charge nurse is making assignments for the next shift. b. Incorrect: Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12. Incorrect: This is not completely practical for everyone.