Right forearm The RN with 2 weeks' experience on the postpartum unit. b. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do), 20. c. Hallucinations at the onset of sleep 6. Rewrite each incorrect sentence to correct the error. d. They disclose more personal information, a. b. I'll rewrap my ankle starting from the knee down 4. The abdominal pain is worsening. This would be an acceptable task to assign to the UAP. A medical-surgical LPN has been sent to a short-staffed pediatric unit. 2. Perform the Heimlich maneuver Which of the following info should the nurse include? Which tasks should the charge nurse complete at the end of the shift before leaving for the day? The nurse is using which level of communication at this time? Select all that apply A school-aged child with a fractured femur who is in balanced suspension traction. 4. Incorrect: First, the local news does not necessarily have the most accurate information on the disaster. Did you recognize ureterolithiasis as "kidney stones"? a. A charge nurse is making client care assignments. A client receives a wrong medication. When the stomach does not make enough intrinsic factor, the intestine cannot properly absorb vitamin B12. 2. 1. 4. Which of the following of Erikson's developmental stages should the nurse consider in the planning? A cardiac step down unit has requested float staff because of multiple impending admissions. 2. The client is receiving IV fluids through an IV catheter inserted in the basilic vein on the right forearm. A high concentration of carbon monoxide can cause death What is the best first action for the nurse to take in order to achieve this goal? 4. Incorrect: Although this action appears to be opening lines of communication, the nurse manager is actually fostering animosity in a situation where the outcome is already predetermined. Notify the board of nursing (BON) that the float nurse is an alcoholic. 1. Did the words diabetic neuropathy make you think that a LPN should not be assigned to this diabetic? Request that the nursing assistant obtain equipment for the client's care while the RN talks with the client and the family. 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. Incorrect: Although this nurse may be accustomed to caring for clients in acute situations requiring a higher level of care, this nurse is not familiar with caring for clients with preeclampsia. d. principal. b. Which of the following nursing statements indicates the nurse understands when discharge plans should be implemented? b. The command center is the only reliable source of information and will make any decisions needed by hospital personnel. (Sclect all that apply) A. Bathe a client who had an amputation 2 days ago. a. & 3. b. I will bear the weight of my body on my hands 5. Select all that apply c. Why are you crying? Each unit functions differently, but the charge nurse's role is to make the unit run smoothly. a. 1. 2. 1. Which of the following statements should the nurse make? Take vital signs every two hours for the patient with the cholecystectomy in Room 6022. 4. 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. Correct: The nurse has not been able to determine the skill of vital sign assessment for this new UAP. a. Hypotension d. Put the side rails up and tell the client to call the nurse before voiding, d. Two nurses using a friction-reducing device (reduces the risk of injury to the nurses and to the client; nurses can use a draw sheet as a friction-reducing device), 38. Incorrect: Discharging a client includes teaching and a review of medications to be taken at home. Incorrect: Obtaining the urinary output of a client at the end of the shift is appropriate for the nursing assistant and should be documented and reported to the RN. b. c. Raised toilet seats Explain administration is demanding a decreased overtime. 4. Which clients should be assigned to the CNA? b. 1. Incorrect: Discussing the assignment with another LPN is delaying the client's needed intervention. Incorrect: The nurse may trust the UAP; however, the nurse has not been able to determine the competency of the new staff member. c. Hold an object away from her body as she lifts it c. Palpating for pedal edema c. Providing anticipatory guidance to a client in crisis Obtain a bedside commode for the client's use In order to reorganize staffing, the nurse manager should initiate which action first? CORRECT: The client is potentially experiencing symptoms of an impending seizure, which can include seeing halos around lights or detecting odd smells. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture? The first client needing the nurse's attention is the one reporting a headache and has a fruity odor to their breath. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? A nurse is caring for a client whose partner asks to speak with the nurse. Drag and Drop the items from one box to the other. Education The UAP can ambulate the client and can report to the nurse if the client states that pain is occurring but cannot monitor or collect data. The nurse voices his concern to the charge nurse. The nurse is using which of the following therapeutic communication techniques? Have another nurse guard the medication preparations until the nurse returns A nurse is administering a cold therapy application to a client. Assigning blame for the changes to administration will not help staff adjust. Allow families unlimited visitation around the clock to meet their schedules. Report from the night shift nurse for one client included the recent development of the following findings: BP 150/100, proteinuria, severe headache, blurred vision, and abdominal pain. b. Discuss the issue with the leader of the "best practices" committee. A nurse instructs a female client about collecting a midstream urine sample. c. Behaving defensively a. The Charge Nurse will lead or direct licensed and non-professional staff in the delivery of direct Resident care and support functions. A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. 3. In which situation should the nurse consult the client's advanced directive? (a) HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010\mathrm{HCN}(a q)+\mathrm{H}_2 \mathrm{O}(l) \longrightarrow \mathrm{H}_3 \mathrm{O}^{+}(a q)+\mathrm{CN}^{-}(a q); K=4.9 \times 10^{-10}HCN(aq)+H2O(l)H3O+(aq)+CN(aq);K=4.91010 Following a passenger train derailment, local hospitals are notified to activate disaster protocols on all floors. Focusing Incorrect: This client is post cardiac catheterization and remains on bedrest; therefore, the affected leg must be kept straight to prevent femoral hemorrhaging. Hold the penis at a 30 to 45 degree angle when inserting the catheter Which of the following statements by the student indicates understanding of the discussion? Correct: The nurse manager is aware that open communication with staff is vital to increase workplace satisfaction and staff retention. A nurse is caring for a client who expresses anxiety about his impending surgery. a. This could cause a medical emergency. The third client that should be sent back for treatment is the female client stating she has been raped. The client was lying on the floor next to his bed (nurse should document what they actually see), 68. 55. b. The charge nurse is responsible for ensuring that the patients on the unit are properly cared for in a safe and efficient manner. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Administer tap water enemas until clear at 6 AM. Most likely, the clients will be aware of the disaster already, and further information could be confusing or frightening. Select all that apply. What task would be best to assign to the LPN/LVN? 4. b. eminent Although this will require assessment, this client is not the priority at this time. Battery Confrontation should occur in the presence of a charge nurse or supervisor. This client is at a high risk of infection. It is the primary healthcare provider's role to receive acceptance for transferring a client to another facility. A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. This client is not the nurse's first priority. Two hours . 4. Which of the following instructions should the nurse include? A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. Complete blockage of the large intestine. 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). Encourage clients and families to develop mutually appropriate visitation times. The nurse has just completed a 12 hour shift. c. Use an aggressive tone of voice Which of the following actions should the nurse take? Which of the following actions is the nurse's priority? a. I will keep my walker at the end of my bed The spouse can rescind the Advance Directive if the client becomes unresponsive. Which of the following actions should the nurse take prior to administering the tube feeding? A nurse is caring for a client who is immobile. A nurse is caring for a client who is scheduled for an elective surgical procedure. a. D. A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. 3. Which clients should the nurse assign to the LPN/LVN based on skill level and scope of practice? Therefore, the RN must perform this task and cannot delegate this to the LPN/LVN. a. 4. 3. Correct: The medical nurse can be assigned to this client. Request a prescription for a medication to ease the client's anxiety Therefore, this would not be the most appropriate nurse to assign to this client. Symbolic communication 3. Assuming that dissolved reactants and products are present at 1 M concentrations, which of the following reactions are nonspontaneous in the forward direction? c. Review another client's similar surgical experience This is a diabetic clinic. 1. Client diagnosed with hemorrhoids who had some spotting of bright red blood on toilet tissue with last bowel movement. 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? A nurse is prioritizing care for two clients at the start of the shift. Correct: The client must have lost decision-making capacity because of a condition that is not reversible or must be in a condition that is specified under state law, such as a terminal, persistent vegetative state, irreversible coma, or as specified in the Advanced Directive. A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. The charge nurse is planning the staff assignments for the clients on a neurological unit. Perform range of motion (ROM) exercises at least 2-3 times daily 4. 4. Placing a washcloth in the bathroom sink prior to cleaning. Find a mentor Most nurses learn to make nurse-patient assign-ments from a colleague. d. Use soap and water to wash the catheter after each use, c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage), 34. a. a. 2) Assist a client to ambulate using a gait belt. The assignment process requires constant evaluation and reevaluation of information and priorities. 2. The nurse did not trust the new UAP. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. 4. b. It can result in muscle spasm and tissue damage. A client requesting assistance packing his belongings for discharge later today.. For which of the following tasks should the nurse wear protective eye equipment. Select all that apply. d. Places clean linen that touched the floor in the soiled linen bag, d. Decreased calcium excretion (prolonged immobility leads to the breakdown of bone tissue; result is decreased calcium excretion), 26. d. Complete an incident report, 70. 4. b. Refuse the delegated intervention. c. Offering false reassurance 4. During lunch, Robin jotted a letter to Amy and signed it, "your friend, Robin.". The crying toddler has missing front teeth, but there is no indication this was the result of the hurricane. Underline the adjective clause in each sentence. Correct: The LPN is being floated to a specialty floor and appropriate assignments would include clients who are stable. Skill level and scope of practice of each staff member, Exit HESI (Actual hesi hints), EXIT HESI 2, Julie S Snyder, Linda Lilley, Shelly Collins. I am feeling much better since my discharge from the hospital and I think my kidneys are working again." 4. 4. These are appropriate tasks for an UAP to complete. b. 3. They have found my address and are coming for my family!" b. Emptying a urinary drainage bag for a client who has pneumonia Correct: First, you must recognize that this client has the signs and symptoms of postpartum preeclampsia. d. Droplet, d. Bend at the knees when picking up an object, 98. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? An LPN/VN has been floated to the emergency room following a chemical plant explosion. d. I decline this opportunity at this time, b. Select all that apply. Client reporting epigastric pain and nausea after eating. This situation needs advanced monitoring and care, so this nurse with very little postpartum experience would not be the most appropriate to assign to this client. 5. An LPN/VN has been floated to the emergency room following a chemical plant explosion. The nurse should immediately assess this client, implement seizure precautions and remain with client for safety. d. Highly concentrated urine, 91. The RN with 8 years' experience in the Intensive Care Unit. 6. A nurse is implementing direct nursing care for a group of clients in an acute care facility. This client is likely in metabolic acidosis due to diabetic ketoacidosis (DKA). Which client would be appropriate for the RN to assign to the LPN? c. I'll wear low heeled shoes from now on Charge nurses have integral roles in healthcare organizations. The charge nurse knows what client would be most appropriate for this LPN? 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 is discussing the norming stage of the group development process with a student nurse. b. 3. This is normal for clients with hemorrhoids. Point out inconsistences in the client's behavior c. The emphasis is on the client's complete recovery from the illness or injury Select all that apply. Refuse the overtime assignment, being prepared for disciplinary action. 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. Notify the primary healthcare provider of transfer completion. A nurse is admitting a client who has a partial hearing loss. You get this vitamin from eating foods such as meat, poultry, shellfish, eggs, and dairy products. Which observation of denture care by the unlicensed assistive personnel (UAP) would require the nurse to intervene? A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. It contains a blank and is followed by four answer choices. 2., 3. A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. e. Assessing a mole on the client's shoulder, Latin GCSE Vocab - 1st and 2nd Declension Adj, NUR 204 ATI Psychosocial Integrity Ch. Teach the UAP to change surgical dressings. The nurse who made the medication error should take which of the following actions first? Client who requires teaching about the use of a patient-controlled analgesia (PCA) pump. Electric comes from the Latin word for amber, a substance which readily takes a static electric charge.
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