Extra Questions

A. The acuity level of the clients E. Client needs and worker's needs and abilities. Focus on the subject, guidelines to use when delegating and planning assignments. Use Maslow's Hierarchy of Needs theory.

The charge nurse is planning the assignments for the day. Which factors should the nurse remain mindful of when planning assignments. Select all that apply. A. The acuity level of the clients B. Specific requests from the staff. C. The clustering of the rooms on the unit. D. The number of anticipated client discharges. E. Client needs and worker's needs and abilities.

C. A client who requires urine specimen collections.

The registered nurse is planning the client assignments for the day. Which is the most appropriate assignment for the assistive personnel (AP)? A. A client requiring a colostomy irrigation. B. A client receiving continuous tube feedings. C. A client who requires urine specimen collections. D. A client with a difficulty swallowing foods and fluids.

D. A client requiring abdominal wound irrigation and dressings every 3 hours. When delegating tasks the nurse must take into consideration the skills and education level of the nursing staff. The rest of the things could be provided by an AP

The nurse employed in a long-term care facility is planning assignments for the clients on a nursing unit. The nurse needs to assign four clients and has a licensed practical nurse and 3 assistive personnels (AP) on a nursing team. Which client would the nurse most appropriately assign to the licensed practical nurse? A. A client who requires a bed bath B. An older client requiring frequent ambulation. C. A client who requires hourly vital sign measurements. D. A client requiring abdominal wound irrigation and dressings every 3 hours.

D. A client with a white blood cell count of 14,000 mm3 and a temperature of 38.4* C? Recall that a normal WBC count is between 5,000-10,000 mm3 and a normal temperature is between 36.4-37 degrees Celcius.

The nurse has received her assignment for the day shift. After making initial rounds and checking on all of the assigned clients, which client should the nurse plan to care for first? A. A client who is ambulatory demonstrating steady gait. B. A postoperative client who has just received an opioid pain medication. C. A client scheduled for physical therapy for the first crutch-walking session. D. A client with a white blood cell count of 14,000 mm3 and a temperature of 38.4* C?

D. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce. Clients with chest pain are always classified as priority 1 until a myocardial infarction can be ruled out.

The nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment. The nurse should prioritize which client? A. A client complaining of muscle aches, a headache and a history of seizures. B. A client who twisted her ankle when rollerblading and is requesting medication for pain. C. A client with a minor laceration on the index finger that was sustained while cutting an eggplant. D. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce.

D. A client with asthma who requested a breathing treatment during a previous shift. Airway is always the highest priority. This could indicate the client was experiencing a difficulty with breathing.

The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first? A. A postoperative client preparing for discharge with a new medication B. A client requiring daily dressing changes of a recent surgical incision C. A client scheduled for a chest x-ray after insertion of a nasogastric tube. D. A client with asthma who requested a breathing treatment during a previous shift.

D. Cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain medication to the other client. B is not a responsibility of a AP. The nurse is responsible for the care of the clients and must go administer the medication.

The nurse is giving a bed bath to an assigned client when an assistive personnel (AP) enters the client's room and tells the nurse that another assigned client is in pain and needs pain medication. Which is the most appropriate nursing action? A. Finish the bed bath and then administer the pain medication to the other client. B. Ask the AP to find out when the last pain medication was given to the client. C. Ask the AP to tell the client in pain that medication will be administered as soon as the bed bath is complete. D. Cover the client, raise the side rails, tell the client that you will return shortly, and administer the pain medication to the other client.