Leadership Hesi 2 Latest Update Graded A

Leadership Hesi 2 Latest Update Graded A Finding a client sitting on the floor, nurse calls for help from UAP Get a BP cuff Assigning a UAP to assist client with personal care Prescribed activity level Charge nurse developing guidelines for a coronary care unit The scope of of practice from the American nurses association Which patient should be assigned to a nurse that is floated from maternity unit Post op hysterectomy There has been a major disaster. Triage nurse should give which patient priority Cut over the Eye Delegate to LPN Dressing change Move which patient to medical surgical unit Patient with ABNL liver levels One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do Take patient to ICU and arrange for respiratory patient to stay in PACU UAP giving complete bath-which patient is more concern Patient with dyspnea (SOB when lying flat) ER nurse getting moved to L&D, what patient should leader assign Patient with episiotomy infection DNR Notify the family Against medical Advice (AMA)with and IV RN removes IV, sign the document AMA form Prescriptions-telephone repeat order back to doctor to make sure it is correct Assign UAP hygiene, feeding, ADLS, ROM, ambulation Malpractice negligence by professional personnel Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication Assignments-new grad graduate nurse supervised by RN, what pt to give? Infusing antibiotic or choosing catheter port Unsafe nurse after nurse goes through rehab she can do her job regularly critical lab value potassium 2.5 is critical lo 6 it critical hi Fibromyalgia assistance provide uninterrupted sleep and refer to pain specialist MRSA room assigned private room, contact isolation Cultural Native American POC Know rules for Immunization permission Priority care Management Ethical Assign least care to UAP Clients rights to give Informed consent is based on which ethical principle Autonomy Consent to treat dont need consent Conflict resolution-nurses Ask the nurses to meet with the nurse manager to identify ways of working CPR effectiveness NGT Irrigation-assignment RN must irrigate UAP using a hand sanitzers that is alcohol for 2 minutes tell that hand sanitizer use is less charge nurse developing the nursing guidelines for a coronary care unit The Scope of Standards of Practice from the American Nurses Association nurse-manager is preparing an annual budget for the unit. Nursing salaries should be included in which component of the budget Operating budget reporting blood glucose results to the nurse the LPN says the glucometer was not calibrated prior to use because the report given by the night shift staff ran late Advise the LPN of the implications involved by not calibrating the glucometer Risk management: pt fell while using some equipment charge nurse trying to find out what happened- hospital polices New RN to Unit Assignment best client to assign is client 4 days post MI Incorrect Delegation LVN/LPN to remove staples from abdominal wound Client in labor, you call the provider and he has slurred words, loud noise in background, and seems intoxicated contact the healthcare provider's associate, not the medical director nurse-manager of a perinatal units is notified that one client from the medical-surgical unit needs to be transferred to make room for new admissions A 35-year-old with lupus erythematosus What action should the nurse implement first when delegating nursing activities to an unlicensed assistive personnel (UAP) Evaluate the experience of the UAP behavior is a breach of clients confidentiality according to the Health Insurance Portable Accountability Act (HIPAA) regulations Take home a daily report sheet with the information of the team's client male with cancer admitted to the oncology unit tells the nurse that he is in the hospital for palliative care measures but ordered prescriptions include radiation therapy Consult with the client about his expected goals for his hospitalization and current treatment plan on If you see a nurse make a mistake-Chain of command speak to her before going to management. If the situation persists, then take it higher LVN/LPN cant Handle any blood