A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. An adult (18 years or older) can create an advanced directive. Incorrect: The treatment of hypertension is critical in the management of a post hemorrhagic stroke. 6. Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care. Elevating the head of the bed 30- 40 for the client post thoracotomy d. Remove and reinsert the NG tube, a. 1. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. (Select all that apply.). When determining if the client is eating a well-balanced diet Evaluate client's safety risk factors. Discussing a client's surgical procedure with the nurse manager Make nursing assignments appropriate to the skill level . e. Dysuria, 49. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. Diltiazem is a calcium channel blocker that has been ordered as a titrated drip to slow heart rate and restore a regular rhythm. 4. Client diagnosed with inoperative brain tumor who is confused. Anyone over age 18 can have an Advanced directive. Review a low-sodium diet for a client who has hypertension. PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. 3. Which of the following actions should this nurse take? c. Discard any residual gastric contents Two hours after other trays were picked up from the rooms, the nurse notes that the client's untouched tray is still at the bedside. a. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? 2. Correct: The unlicensed nursing assistant should not turn tube feedings off or on. The charge nurse (an RN) must determine how best to assign another RN and one licensed practical nurse/licensed vocational nurse (LPN/LVN) to provide care to a group of clients on the day shift. Soaking the dentures in hot water c. Explore the client's feelings about dietary modifications Left upper forearm 1. Temporary urinary retention (common for clients to develop after removal), 90. 4. b. Verbalize understanding of how the client feels The primary healthcare provider may have suggestions but this is not the best first action. Assist a client to ambulate using a gait belt. 1. A nurse is providing discharge teaching for a client who requires home oxygen therapy. Correct: Did you notice the hint? Correct: It would be best to explore the reason the RN thinks the assignment is too heavy. 2. 4. The second client the nurse needs to see is the client diagnosed with gastroenteritis who had two 300 mL diarrhea stools in one hour. The nurse on a large surgical unit needs to evaluate several clients returning from procedures. 4. c. The emphasis is on the client's complete recovery from the illness or injury Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care. Well, many diabetics experience diabetic neuropathy and it is not a situation that makes this client unstable or critical. Remind the client to avoid tight fitting clothes. Refuse the overtime assignment, being prepared for disciplinary action. Incorrect: The first void of a 24 hour urine is discarded and can be delegated to the UAP. Which of the following is the priority action by the nurse? Return any fresh linen not used for a client to the linen supply area Incorrect: The nurse manager is aware that health care facilities often face both political and financial issues that impact staff and clients simultaneously. Write the letter of your choice on the answer line. Which of the following statements should the preceptor make? 1. Simply accept the assignment since overtime is mandatory. Cystogram reporting burning on urination. *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. Teaching is not in the role of the LPN and therefore, this client would need to be assigned to the RN, not the LPN, for the teaching needs of the client. c. Notifying the provider of physical exam findings Which of the following statements should the nurse make? Which of the following items should the nurse offer the client? d. Bend at the knees when picking up an object, 99. Correct: Nurses must use and recognize appropriate terminology and abbreviations to avoid potential client harm. To confirm the placement of the NG tube a. If the client is unstable, the nurse would retain the role of measuring the vital signs. c. The chances of a malpractice suit are minimal as long as you follow our policies and procedures Client prescribed antibiotics for cystitis. Nothing will get passed the complete blockage. Assign a nursing assistant to help the client with self-care activities. 32-36, Winningham's Critical Thinking Cases in Nursing, Final Exam Review -Missed QuestionsE5-Multi. Which of the following findings associated with urinary retention should the nurse expect? Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? To focus on effective learning with this client, which of the following interventions should the nurse use? A nurse receives a client care assignment from the charge nurse that he believes is unfair. Assign more daily tasks to the UAP. 4. Drag and Drop the items from one box to the other. 3. 2. The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. c. Request a tray without pork 4. It is quicker to administer medications intravenously in the hospital 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. Turning off continuous tube feeding to reposition a client, then turning the feeding back on. A client is scheduled for a colonoscopy with biopsy of a large tumor that is completely blocking the large intestine in the morning. A nurse is completing discharge teaching with a client. Administer sodium polystyrene sulfonate enema. a. Obtain a client's consent The nurse cannot allow the UAP to perform advanced tasks. C. Review a low-sodium diet for a client who has hypertension. The second client that should be given a treatment room is the elderly client who fell and fractured the left femoral neck. a. The nurse asks why the client needs to know this. In what order should the nurse see the clients? Suggest splitting the shift with another nurse. It also helps the client deal with issues that are important to him), 19. Limit the client's fluid intake in the evening TRAINED TO BE RELIEF CHARGE NURSE FOR THE UNIT, COMPLETE PATIENT ASSIGNMENTS, CUSTOMER SERVICE AND PROBLEM-SOLVING PROFICIENCY JUNE 2021 - JUNE 2022 STAFF RN - 3C GI MED SURG PROFICIENT IN . 2. 2. What task would be appropriate for a nurse caring for a client diagnosed with gastroesophageal reflux to delegate to an unlicensed assistive personnel (UAP)? d. Wait to discuss the behavior in the presence of others, a. d. Establishing the client's secondary medical diagnoses, b. a. As the evening progressed, the unit tasks became very demanding and the nurse had to delegate several actions to the UAP. An experienced neurological nurse should be assigned to this client to assess and manage for signs and symptoms of increasing intracranial pressure. b. There is a trailing zero after the prescribed dose. d. I decline this opportunity at this time, b. A charge nurse is making client care assignments. Ask the primary healthcare provider to suggest the best oral care procedure. The client must understand the need for restraints b. 1. 4. What is the best response by the charge nurse? 2. a. Sit side-by-side with the client Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. Providing hygiene care to a client who is HIV positive A nurse is planning care for a female client who has an indwelling urinary catheter. There may be a good reason that the tray was not served. Sudden attacks of sleep 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. a. Auscultate breath should at least ever 2 hr A client receiving heparin injections for deep vein thrombosis. Which of the following actions should the nurse take? 4. Post-surgical pain is expected and without further parameters, no determination can be made regarding this client. The nurse received a client following surgery 8 hours ago. Give magnesium citrate 296 mL at 3 PM today. 4. c. There is fluid leaking around the insertion site & 6. The RN with 10 years' experience pulled from the ER. a. The client's self-report of pain severity, 88. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." Provide an adaptive feeding device for the client Ask the client to perform a return demonstration of insulin injection d. The presence of a bed alarm could have prevented the client from falling, b. Assess the client (to check if there is any harm to the client), 69. Which clients would be appropriate assignments for the LPN/LVN? 4. This perceived lack of control can create distrust and frustration among personnel, ultimately impacting client care. 5. A client diagnosed with rheumatoid arthritis needing discharge teaching. 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. d. Perception A nurse is developing a plan of care for a client who practices Islam. Use the tablet's packaging to pick it up from the counter Which of the following items should the nurse include on the lunch tray? Correct: Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. 2. The nurse is caring for four clients. 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. Temporary urinary retention Therefore, this client needs the advanced assessment skills of the RN and should not be assigned to the LPN. 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. One important aspect is encouraging the flow of ideas between management and staff members. Lisinopril 20.0 mg PO daily 1, 3 & 5. d. Water heater temp 54.4 C (130 F) d. Let's wait until tonight to see if he continues his behavior, 63. a. c. We administer all medications intravenously to clients in this unit c. Foot The women's health charge nurse is making assignments for the next shift. 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 findings should the nurse expect? b. c. Explain the risks and benefits of the procedure a.) nursing brain nurse sheets night documentation hour rotation sheet icu care assessment charting plan nurses assignment patient shift report rn. If a sentence is already correct, write CCC.
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