Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. What options would be appropriate for the nurse to take? Determine caregiver's stress level and coping strategies. A nurse is implementing direct nursing care for a group of clients in an acute care facility. a. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. Which of the following statements should the nurse identify as an indication that the client needs further instruction? Placing a washcloth in the bathroom sink prior to cleaning. The nurse who made the medication error should take which of the following actions first? 1. c. Include intact skin at the wound edges in the culture The key word in the stem is first. a. d. Fill linen bags with as much soiled linen as possible, b. Negligence (negligence is the failure to provide the expected standard of care. Temporary urinary retention Documentation of what occurred, and the client's assessment is required in the nurse's notes. (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 A client with fibromyalgia reporting generalized pain of 7 out of 10. 2. These areas require the expertise of an RN and would not be appropriate for an LPN/LVN. 1. A nurse is providing discharge teaching for a client who requires home oxygen therapy. a. I will keep spare crutch tips handy 2. Client who has multiple injuries from a motor vehicle accident. Furosemide 40 mg PO q.d. 55. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. 2) Assist a client to ambulate using a gait belt. 5. The nurse has another priority. Explain to the RN that all the nurses have the same number of clients. a. d. Apply antiembolic stockings, d. I will place a bath seat in my shower to use when I bathe, 44. The critical care nurse is caring for a client with a head injury secondary to a motorcycle accident who, on morning rounds, is responsive to painful stimuli and assumes decorticate posturing. Personal liability coverage is not mandatory, but you should consider purchasing your own coverage So, this client who is receiving PRN pain medication is certainly someone that the LPN could be assigned to. Based on the information provided in report, which client condition should be the nurse's priority? b. Speak to the UAP first and then decide if a between meal supplement is needed. Only the state Board of Nursing can legally determine the LPN's scope of practice. Disconnect client's nasogastric (NG) tube suction to allow ambulation. Which actions should be instituted by each unit's charge nurse? Incorrect: Informing is the same thing as teaching. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion). a. Confrontation should occur in the presence of a charge nurse or supervisor. What action should the nurse take after mistakenly administering the wrong medication? a. 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. The client with cystitis is stable and has a predictable outcome. 3. A. c. Notify the nurse manager 1. Correct: This group of clients is primarily med surgical. 10. Remind the client that a signed informed consent form is a legally binding document (Select all that apply.). Which of the following findings associated with urinary retention should the nurse expect? Include any relevant statements the client made about the ulcer, 64. Pointing to the two glasses partially filled with water, the magician asked, "Which glass contains the least water?". A nurse is admitting a client who has a partial hearing loss. Point out inconsistences in the client's behavior Incorrect: The nurse retains the responsibility for the delegated task. b. This action is a defensive intervention, and does not address the quarrelsome behavior. 3. Some general guidelines are necessary, with input from clients and family to individualize any special requests with assistance from the facility. This will allow the charge nurse to analyze the situation to make a better decision as to whether the assignment should be changed. 3. Sudden attacks of sleep 1. Provide an adaptive feeding device for the client Explain administration is demanding a decreased overtime. In what order should the nurse see the clients? 3. A person can indicate they wish to be a DNR client if their heart stops beating or they stop breathing. c. I'll bear weight on my ankle for 10 minutes every hour Write the letter of your choice on the answer line. c. Washes and rinses her hands for 10 seconds, 11. c. Use an aggressive tone of voice d. 216, 22. Donning gloves and using a gauze pad to grasp and remove dentures d. Discussing intake and output The nurse is using which level of communication at this time? Based on this information,what should the nurse do? c. The nurse may serve as a witness to informed consent for organ donation c. Provide the client with a diet high in protein If the LPN notes any serious bleeding situations, it would need reported immediately to the RN. There are a total of 10 adult clients. He charge nurse is making client care assignments for the evening shift. Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. b. The nurse is working with a new unlicensed assistive personnel (UAP) on a post-operative unit. Feedback The best practice committee works to improve clinical practice based on current research. 2. A nurse is orienting a new assistive personal (AP) to the unit. Warm the feeding solution to the body temperature Richied5864 Richied5864 . Select all that apply. There are a total of 10 adult clients. 1. c. Do not eat or drink anything the morning of the test (Select all that apply) What interventions can the nurse delegate to the LPN/VN? A nurse is caring for a client who has a hip fracture that requires surgical repair. Send a day's worth of medications with the client to the receiving facility. Vaginal delivery of fetal demise, C-section with pneumonia, 32 week gestation with lymphoma. Performing passive range of motion (ROM) on the client with right sided paralysis. c. Confrontation d. Otorhinolaryngologist, c. Irrigating a client's abdominal wound Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. 4. So what is wrong with option #1? Which preoperative prescription should the nurse question? 1. The client can indicate desire for Do Not Resuscitate (DNR). Alert all off-duty personnel to stand by in case of call- in. Client #1 has COPD, and, although complaining of shortness of breath, that is not unusual for clients with this diagnosis. a. c. Review a low-sodium diet for the client who has hypertension The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. Incorrect: Here, you have a client who needs teaching about intravenous pain management using a patient-controlled analgesia (PCA) pump. Learning Objectives for this assignment include: Apply the principles of delegation in the healthcare setting. 2. The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. 4. b. eminent c. Open the right flap with the left hand The client will need to be assessed, but there is no specific indication the respiratory status is presently compromised. Incorrect: The RN is responsible for assessment and evaluation of clients. b. 5. c. Initiate a liquid diet for the client Which client would be appropriate for the RN to assign to the LPN? Incorrect: The hysterectomy client needs to be ambulated to avoid post op complications. 1. Notify the primary healthcare provider. Which of the following physiological responses to prolonged immobility should the nurse expect? A client with epilepsy reporting an odd smell in the room. c. I will make sure my visitors smoke outside The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. Which of the following RNs should not be assigned to this baby? b. Grape juice Place in priority order. Which of the following instructions should the nurse include? The report should contain consequences. b. Numbness A nurse is developing a plan of care for a client who does not speak the same language as the nurse. Client with chronic emphysema experiencing mild shortness of breath. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. a. d. Anger, b. c. Depression December 5, 2020. d. Offering sympathy, d. Test the pH of gastric aspirate (nurse should verify position of tube, testing pH is acceptable method between x-ray confirmations), 85. c. Why are you crying? Besides yourself, there are the following staff: Your unit has 12 beds. 2. INCORRECT: Clients with COPD are always short of breath and dyspnea is an expected finding during an exacerbation. Return any fresh linen not used for a client to the linen supply area Remove all metal necklaces Incorrect: The purpose of a cystogram is to examine the inside of the bladder to confirm the presence or absence of abnormalities, or even obtain a biopsy. 2. Nursing questions and answers. Which region of the tRNA pairs with mRNA? b. c. We administer all medications intravenously to clients in this unit a. 1. The nurse should not be assigned to provide care if impairment is suspected. Teaching can be reinforced by the LPN/LVN, but they cannot perform the initial teaching. Obtain a urine specimen from a client with an indwelling Foley catheter. Correct: The best first action for the nurse is to identify a problem, and follow up with the appropriate person. What information should the nurse include? b. I will keep the fluorescent ceiling light on in my room at night Prepare a list of clients who could quickly be discharged or transferred. This individual should be provided appropriate comments of appreciation for this accomplishment. 4. d. Remove and reinsert the NG tube, a. c. Changing a dressing c. I'll clean the inside of the container with a wipe c. I will place an area rug at the entry of my bathroom Explore the client's feelings Complete blockage of the large intestine. Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. 2. Include any relevant statements the client made about the ulcer In what order should the nurse assess assigned clients following shift report? c. I'll wear low heeled shoes from now on 3. 4. Evaluate client's safety risk factors. Teach the UAP to change surgical dressings. Anyone over age 18 can have an Advanced directive. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back). The client would develop severe cramping. Since this is a postoperative client, It is important that the vital sign measurement is accurate to detect any changes or possible complications. Which of the following info should the nurse include? A nurse is caring for a client in a long-term facility who is receiving enteral feedings via an NG tube. Which of the following actions should this nurse take? Changing the subject Select all that apply. The stem does not indicate any loss of neurological function resulting from the seizure activity. Incorrect: This is appropriate because this position will improve gas exchange and breathing for a client after thoracic surgery. The responsibility of the nurse manager is to implement change in a positive manner, while assisting staff adaptation even to unpopular modifications. Which of the following actions should the nurse take? A home health nurse is conducting a home safety assessment for an older adult client. A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Hanging a new bag of total parenteral nutrition (TPN). A client diagnosed with rheumatoid arthritis needing discharge teaching. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. This is likely cholelithiasis, which will need to be checked out. To remove gastric acid that might cause dyspepsia A nurse who is breastfeeding her 4 month old. B. Assist a client to ambulate using a gait belt The below statement corresponds to a numbered sentence in the passage. Which action by an unlicensed nursing assistant would require the nurse to intervene? Incorrect: The concern here is the client being fed their meal. Client with ureterolithiasis who requires frequent PRN pain medication. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. A client receives a wrong medication. A nurse is caring for a client who has a wound infection. 3. However, since the new UAP's competency level is not known, the nurse does not delegate this task for the safety of the client. 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. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. 4. Assist client to brush and floss teeth. 2. 1. d. Do you think crying will help? d. I have a set of my brothers' crutches in the basement I can also use, a. The client should be assessed first to rule out respiratory difficulty and hemorrhage. Remember, pick the killer answer first! Which of the following actions should the nurse include in the plan? What task would be best to assign to the LPN/LVN? d. Wears a respirator mask when entering the room of a client who requires airborne precautions, c. Industry vs inferiority (a school age child (6-12) is in this stage of development), 12. 1. Incorrect: The administration of parenteral pain medications is not in the scope of practice for the LPN/LVN. The LPN/LVN can gather data, but the RN is responsible for validating and interpreting that data to assess and evaluate. It involves people who are constantly changing-their conditions improve and deteriorate, they're admitted and discharged, and their nursing needs can change in an instant. a. Auscultating heart sounds Therefore, the nurse with Labor and Delivery experience would be the most appropriate one to assign to care for this client who has postpartum preeclampsia. Which clients would be appropriate assignments for the LPN/LVN? d. Remove tea and coffee from meal trays, b. Incorrect: The wash cloth is placed in the sink to prevent the dentures from breaking if they are dropped.
School Of Rock Monologue Summer, Articles A
School Of Rock Monologue Summer, Articles A