The charge nurse is observing the following client situations it would require intervention if a. Study with Quizlet and memorize flashcards containing terms like The UAP puts the arms of a client at their side as they prepare them for transfer, The UAP reaches across the bed to straighten the fitted sheet. performs auscultation between meals. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves Study with Quizlet and memorize flashcards containing terms like The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse is preparing for the admission of an elderly client with delirium and agitation associated with urinary tract infection. visitor is sitting on the side of the bed of a client with acute pancreatitis Study with Quizlet and memorize flashcards containing terms like The charge nurse is observing a new nurse care for a client who is receiving a continuous feeding through a nasogastric feeding tube. Study with Quizlet and memorize flashcards containing terms like A charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. ), A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. ) clamps the NG tube during auscultation b. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. client with hepatitis B (HBV) is eating food brought into the facility by a visitor 02 visitor is sitting on the side of the bed of a client with acute pancreatitis | 03. visitor is sitting on the side of the bed of a client with acute pancreatitis 3. family member of a client with mycoplasma pneumonia leaves the door to the client's room open Study with Quizlet and memorize flashcards containing terms like Which action should the nurse take to ensure that an unlicensed assistive personnel (UAP) understands the instructions to perform a delegated task?, The nurse is assigned a client who had an uneventful colon resection 2 days ago and requires a dressing change. Obtaining sterile gloves for the tracheostomy care 4 The charge nurse is observing a new nurse care for a client who is receiving a continuous feeding through a nasogastric feeding tube. Which of the following actions requires intervention by the charge nurse? A. H. While respite care services may offer some assistance with errands or tasks, the primary purpose of respite care is to provide temporary relief and support to caregivers by allowing them to take a break from their caregiving responsibilities. Which action by the new nurse would require intervention by the charge nurse? The new nurse interrupts the feeding every 4 hours and aspirates gastric contents. Which of the following actions by the newly licensed nurse requires intervention? 1. It would require intervention if a o 1. chronic hypoxia. The charge nurse is observing the following client situations. Four-point leather restraints 3. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse. Palpates the abdomen prior to performing auscultation, A (Select all that apply. using clean technique B. Which of the following findings should Mar 15, 2023 · The charge nurse is observing a newly hired nurse care for a patient who sustained a closed head injury, is receiving mechanical ventilation, and is at risk for developing increased intracranial pressure (ICP). The nurse should identify that theyse values are an indication of which of the following?, A charge nurse is observing a newly licensed nurse who is preparing to administer a blood transfusion to a Study with Quizlet and memorize flashcards containing terms like The charge nurse has received a change-of-shift report on the following clients in labor. The AP is to transfer a client who has a below-the-knee amputation from a bed to a wheelchair. , The nurse is teaching a Choice A Reason: Provide volunteers who will run errands for her is incorrect. Avoid movements that require spinal flexion with straight The new nurse places the client in the left lateral recumbent position. What teaching points should the nurse plan to include? SATA 1. pylori placed on standard precautions. Which of the following actions, if performed by the newly hired nurse, would require intervention by the charge nurse? The nurse is observing a student who is using a safety razor to shave a client. Which of the following findings should the charge nurse identify that the client is experiencing an adverse reaction and requires notification of provider and updating the client's plan of care? Select 6 findings that indicate that client is having an adverse reaction. 6 C) 2. rotavirus provided a disposable blood pressure cuff. Which of the following responses should the charge nurse make? Study with Quizlet and memorize flashcards containing terms like Peripheral cyanosis and clubbing of the nails are symptoms of: normal aging. auscultates bowel sounds for 3 to 5 min. "The proxy should make health care decisions for the client regardless of the client's ability to do A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client. It would require intervention if aclient with hepatitis B (HBV) is eating food brought into the facility by a visitorvisitor is sitting on the side of the bed of a client with acute pancreatitisstaff member is entering the room of a client with Haemophilus influenzae meningitis The charge nurse is observing the following client situations. Obtaining cotton balls for the tracheostomy care 2. Which action would require intervention by the nurse? A. applying suctioning while inserting catheter C. Palpates the abdomen prior to performing auscultation Study with Quizlet and memorize flashcards containing terms like 1. rubella and their door is kept closed. client with hepatitis B (HBV) is eating food brought into the facility by a visitor 2. Irrigates the pressure ulcer with half-strength hydrogen peroxide. a. The nurse understands that which of the following is an ocular effect of cholinergic The charge nurse is observing a newly hired nurse care for a patient who sustained a closed head injury, is receiving mechanical ventilation, and is at risk for developing increased intracranial pressure (ICP). (Select all that apply. Which of the following actions requires interventions by the charge nurse? a. visitor is sitting on the side of the bed of a client with acute pancreatitis Study with Quizlet and memorize flashcards containing terms like An occupational health nurse is planning to teach a group of manufacturing workers how to prevent back injuries. Which of the following actions by the new nurse would require intervention by the charge nurse?, Which of the following types of feeding tubes would be most appropriate for a patient requiring Apr 8, 2024 · The charge nurse is observing the following client situations. Which action by the new nurse would require intervention by the charge nurse? (a) The new nurse places the client in the left lateral recumbent position. For which of the following actions should the charge nurse intervene? A) The nurse separates the client's labia with her dominant hand B) The nurse coats the indwelling urinary catheter with lubricant C) The nurse provides perineal The nurse is observing infection control practices in the nursing unit. Irrigates the pressure ulcer with 50 mL normal saline. It would require intervention if a 01. 7F (37. Which of the following actions, if observed, would require the charge nurse to intervene? Palpation of Oct 1, 2023 · A charge nurse is observing a nurse auscultating a client's bowel sounds. A client experiencing rapid, pressured speech and poor personal boundaries B. client with hepatitis B (HBV) is eating food brought into the facility by a visitor; visitor is sitting on the side of the bed of a client with acute pancreatitis Which of the following actions, if performed by the newly hired nurse, would require intervention by the charge nurse? 1) suctioning the patient when the high-pressure alarm sounds. pulling the razor against the direction of hair growth C. 6° C) 2. Performs auscultating between meals C. The nurse should identify this so that the new nurse has an understanding of the procedure. increased cholesterol. , The charge nurse is observing a new nurse perform an assessment of a client's head and neck. Which of the following findings require follow-up? A client with Select all that apply. Provide the AP with a manual on how the transfer Study with Quizlet and memorize flashcards containing terms like A nurse is supervising a newly licensed nurse who is suctioning a client's tracheostomy. The charge nurse is observing a new nurse care for a client who is receiving a continuous feeding through a nasogastric feeding tube. By the second postoperative day, a client has not achieved satisfactory pain relief. A family member of a client with mycoplasma pneumonia leaving the door to the client’s room open could potentially require intervention. Study with Quizlet and memorize flashcards containing terms like A charge nurse is observing a nurse auscultating a client's bowel sounds. Brisk A client who has back pain presents to an emergency department and is provided a prescription for oxycodone. ) auscultates bowel sounds for 3-5 mins d. Which actions by the new nurse would require intervention by the charge nurse?-The new nurse places the client in the left lateral recumbent position. C. staff member is entering the room of a client with Haemophilus influenzae The charge nurse is observing the following client situation. Question: The charge nurse is observing the following client situation. Study with Quizlet and memorize flashcards containing terms like The charge nurse is observing a new nurse collect a stool sample to determine the presence of occult blood. Study with Quizlet and memorize flashcards containing terms like A nurse is delegating a task to an assistive personnel (AP). hypertension. Which of the following information should the charge nurse include? A. Which of the following client statements indicates to the nurse a need for additional teaching?, A nurse is administering eye drops to a client. It would require intervention if a 1. Which of the following actions should the nurse take? A. ) palpate the abdomen prior to performing auscultation A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). rinsing the razor after each stroke of the razor D. First stage of labor whose contractions are occurring every 30 seconds 3. The nurse should recognize that the client and their family might be experiencing which of the following types of grief? a) disenfrachised b) Complicated c) Anticipatory d) Traumatic, A charge nurse is observing a newly hired nurse provide grief informed care The nurse is assessing clients on an in-patient psychatric unit. , A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. When sitting, keep knees slightly lower than the hips. A visitor is sitting on the side of the bed of a client with acute pancreatitis. Second stage of 9-The charge nurse is observing the following client situations. client with hepatitis B (HBV) is eating food brought into the facility by a visitor 02. The charge nurse is observing a nurse perform a dressing change on a client with a Stage III pressure ulcer. A charge nurse is observing a nurse auscultating a client's bowel sounds. It would require intervention if a. For which of the following actions should the charge nurse intervene? and more. staff member is entering the room of a client with The charge nurse is observing the following client situations. Question: 110 The charge nurse is observing the following client situations. A client who has slept on 1-2 hours per night for the past 2 nights D. Clamps th NG tube during ausculattion B. Instills 100mL of air into the NG tube after checking for residual B. A visitor is sitting on the side of the bed of a client with acute pancreatitis 03. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves Study with Quizlet and memorize flashcards containing terms like A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client. A charge nurse is observing a newly licensed nurse care for a client who reports pain. 2. Flushes the NG tube with 0. palpates the abdomen prior to performing auscultation Study with Quizlet and memorize flashcards containing terms like A nurse caring for a client who has been prescribed nitroglycerin via a transdermal patch. auscultates bowel sounds for 3 to 5 min d. b. Question: The charge nurse is observing the following client situations. c. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves Jun 19, 2023 · The charge nurse is observing the following client situations. Obtaining cotton balls for the tracheostomy care 3. A Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? A. lubricating suction catheter with an oil-based lubricating jelly D Study with Quizlet and memorize flashcards containing terms like The process of labor is multifactorial. Obtaining hydrogen peroxide for the tracheostomy care 3. Study with Quizlet and memorize flashcards containing terms like A nurse is performing a respiratory assessment on a client. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves d. washing the skin with soap and water prior to shaving B. The nurse auscultates a wet, popping sound upon inspiration of the client's breathing. Which of the following actions by the AP requires follow up by the nurse? The AP uses a cuff width that is 40% of the circumference of the client's arm. The charge nurse should ask a staff member to first see the client in the 1. palpates the abdomen prior to performing auscultation. A client expressing homicidal ideations toward the neighborhood butcher C. Client with hepatitis B (HBV) is eating food brought into the facility by a visitor. second stage of A charge nurse is assisting with the care of a client. See Answer. Which action by the graduate nurse will require the charge nurse to intervene? The graduate nurse uses sterile scissors to cut the wound filler foam to the shape of the wound. Following the DASH dietary plan. clamps the NG tube during auscultation. performs auscultation between meals c. visitor is sitting on the side of the bed of a client with acute pancreatitis 3. Which of the following action by the staff member will require the nurse to intervene?, The nurse from a maternity unit has been assigned to the emergency department (ED) to assist with clients injured in an external disaster. first stage of labor who has an oral temperature of 99. ) Study with Quizlet and memorize flashcards containing terms like The nurse is observing a staff member caring for a client who has chickenpox. Diaphragmatic breathing exercises. visitor is sitting on the side of the bed of a client with acute pancreatitis 03. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has the following arterial blood gas (ABG) values: pH 7. 3. The client's head should be elevated 30 to 45 degrees. Which client would require immediate intervention? A. which of the following actions requires intervention by the charge nurse? a. , Which nursing interventions would support a normal Question: A charge nurse is observing a newly licensed nurse perform client care. ), A charge nurse is observing a newly licensed nurse perform an anterior chest auscultation on a client. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves 04 Question: The charge nurse is observing the following client situations, it would require intervention if a Client with hepatitis B (HBV) is eating food brought into the facility by a visitor Visitor is sitting on the side of the bed of a client with acute pancreatitis Staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a The charge nurse is observing the following client situations. All of the other actions are correct and would not require intervention by the charge nurse. Which of the following actions by the newly licensed nurse should the manager identify as unprofessional behavior? (Select all that apply. client with hepatitis B (HBV) is eating food brought into the facility by a visitor 2. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?, 2. Client with hepatitis B (HBV) is eating food brought into the facility by a visitor o 2. The AP has never transferred a client with an amputation before. first stage of labor whose contractions are occurring every 30 seconds 3. Which of the following actions requires intervention by the charge nurse? a. B. To which nursing team member should the nurse avoid delegating the The charge nurse is observing the new graduate nurse perform the dressing change for a client with negative pressure wound therapy. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves 4 Question: 110 The charge nurse is observing the following client situations. d. It would require intervention if a: Client with hepatitis B (HBV) is eating food brought into the facility by a visitor. Which action by the new nurse would require intervention by the charge nurse?, The nurse needs to collect stool for occult blood testing from an 8-month-old client. 9% sodium chloride irrigation every 2 hr. First stage of labor who has an oral temperature of 99. obtaining hydrogen peroxide for the tracheostomy care 2. 1. Mycoplasma pneumonia is a type of bacterial pneumonia that can be spread through respiratory droplets. Obtaining sterile gloves for the tracheostomy The charge nurse is observing the following client situations. What topics should the nurse include? Select all that apply 1. The parent asks if the specimen for testing can be Study with Quizlet and memorize flashcards containing terms like A Nurse is caring for a client who has cancer and is terminally ill. 4. a charge nurse is observing a nurse auscultating a client's bowel sounds. Wear comfortable, low-heeled shoes. To promote client safety, which intervention is most important for the charge nurse to implement? 1. It will require intervention if a. Use of blood pressure monitoring device. 7° F (37. A bed near the nursing station 2. The nurse checked the client's MAR and . Auscultates bowel sounds for 3 to 5 min D. A. Sep 11, 2023 · The charge nurse is observing the following client situations. Study with Quizlet and memorize flashcards containing terms like A nurse is auscultating the lateral lobes of a client who has bronchitis . The nurse should identify this observation as which of the following findings?, A nurse is performing a cardiovascular assessment on a client. , The nurse allows the water to run off their elbows when washing and more. staff member is entering the room of a client with Haemophilus influenzae meningitis wearing a protective gown and gloves 4 The charge nurse is observing the following client situations. 2) hyperventilating with 100% Fi02 prior to suctioning. The five primary factors include powers, passage, passenger, psyche, and:, While caring for a client, which interventions would the nurse include in the nursing care plan to provide culturally competent care? Select all that apply. Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to educate a client diagnosed with essential hypertension on how to decrease the risk of developing complications. client with hepatitis B (HBV) is eating food brought into the facility by a visitor. clamps the NG tube during auscultation b. client with hepatitis B (HBV) is eating food brought into the facility by a visitor b. ) performs auscultation between meals c. Which of the following situations requires intervention by the charge nurse?Administering an antibiotic medication to a client 1 hr prior to the prescribed timeNeglecting to ask a client to state his name prior to administering medicationRefusing to administer a medication that another A charge nurse is observing a nurse auscultating a client's bowel sounds. visitor is sitting on the side of the bed of a client with acute pancreatitis c. What observation by the charge nurse would indicate a need for further teaching? 1. Which of the following actions, if performed by the newly hired nurse, would require intervention by the charge nurse? A. -The new nurse changes gloves before preparing the feeding bag. A nurse manager is observing a newly licensed nurse provide care for a client. applying direct pressure to an area that A nurse is observing an assistive personnel (AP) who is obtaining a blood pressure reading from a client. Adds 20 mL of blue dye to each feeding to help detect aspiration. 44, paCO2 37 mm Hg, and HCO3- 24 mEq/L. bqi uyvqvg ztgn sibsyzr jlklhr awxjrq gyzfi uidq cerg hqiqiu