4. the er nurse has just received report on assigned patients. which patient is assessed first?

How does the nurse correct the error in the assessment?

The nurse has made an error in documenting an assessment finding on a client and obtains the client's record to correct the error. The nurse corrects the error by: 1. Documenting a late entry into the client's record. 2. Trying to erase the error for space to write in the correct data. 3.

Which information does the nurse working on the diabetic specialty unit report?

All the information listed above is important, but the correct answer is the only answer that includes reports of the patient's overall tolerance to care and cardiac results. The nurse working on the diabetic specialty unit cares for four patients. A nursing assistant reports that each of the patients requires the nurse's attention.

How to deal with nurses in the ER who are misbehaving?

Encourage the nurses to place the ID band on the patient as soon as they arrive on the unit. 3. Address the issue during a prescheduled meeting and ask why the nurses in the ER have not been doing their job correctly.

What does the nurse check after a cardiac catheterization?

The nurse checks the distal pulses of a patient's legs two hours after they have returned from a cardiac catheterization. 4. The nurse checks the distal pulses of a patient's legs two hours after they have returned from a cardiac catheterization.

Which client does the nurse assess first after receiving Morning Report?

WHICH CLIENT SHOULD THE NURSE ASSESS FIRST AFTER MORNING REPORT? Expiratory wheezes should be seen first as may indicate allergic reaction to the contrast.

When triaging emergency room clients which client should the nurse assess first?

Nurse triage is needed in a number of situations, including within the emergency department. The nurse must assess which client is at the highest risk of being in a life-threatening situation. The first client who must be assessed is the one who has a situation that threatens the airway, breathing, or circulation.

Which patient should the nurse assess first after receiving a shift report?

The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.

Which of the following clients should the nurse assess first?

Which of the following clients should the nurse assess first? *When using the acute versus chronic approach to client care, the nurse should place the priority on the client who has a chest tube and has asymmetrical chest movement because this can indicate a tension pneumothorax.

In what order should the nurse assess assigned clients following shift Report place in priority order?

Terms in this set (59) In what order should the nurse assess assigned clients following shift report? Place in priority order.

Which patient requires immediate assessment by a triage nurse?

Level-1 patients are critically ill and require immediate physician evaluation and interventions. When considering the need for immediate lifesaving interventions, the triage nurse carefully evaluates the patient's respiratory status and oxygen saturation (SpO2).

Which client should the charge nurse on the respiratory unit assign to the graduate nurse who just completed orientation?

Which client should the charge nurse on the respiratory unit assign to the graduate nurse who just completed orientation? The client diagnosed with bronchiolitis who has a wheezy cough and rapid breathing.

Which client should be assigned to the most experienced nurse?

The most experienced nurse should be assigned to the client who requires teach- ing and evaluation of knowledge for home healthcare, because the client is in the surgery center for less than 1 day.

Which action by a nurse requires intervention by the charge nurse?

The nurse should always close all documents and log out when finished using the computer. This requires intervention by the charge nurse.

How do you prioritize patient care in nursing?

Nurses should apply the concept of ABCs to each patient situation. Prioritization begins with determining immediate threats to life as part of the initial assessment and is based on the ABC pneumonic focusing on the airway as priority, moving to breathing, and circulation (Ignatavicius et al., 2018).

What is priority framework?

Safety and Risk Reduction. The safety and risk reduction priority-setting framework assigns priority to the factor or situation that poses the greatest safety risk to the client. It also assigns priority to the factor or situation that poses the greatest risk to the client's physical and or psychological well-being.

What is the priority action the nurse should take?

The priority action for the nurse in this scenario is to tell the client to breathe slowly in and out of their mouth and not to leave their sight. By breathing slowly, the nurse co...

What should a nurse do if a nurse makes an error in documenting in the client's record?

If the nurse makes an error in documenting in the client's record, the nurse should follow agency policies to correct the error. This includes drawing one line through the error, initialing and dating the line, and then documenting the correct information.

What position would a nurse place a client in if an air embolism is suspected?

The nurse would next place the client in a left side-lying position with the head lower than the feet (to trap air in right side of the heart).

What is Option 2 in nursing?

Option 2 is not a responsibility of the nursing assistant. The nurse has just obtained a unit of blood from the blood bank to transfuse into a client as ordered.

What is a nurse manager?

The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. A nursing assistant is resistant to the change and is not taking an active part in facilitating the process of change.

What happens if a nurse administers an inaccurate medication dose?

The nurse who administered the inaccurate medication dose understands that: 1. The error will result in suspension. 2.

Why do nurses call the physician after a client falls?

The nurse calls the physician regarding a new medication order because the dosage prescribed is higher than the recommended dosage.

What is an incident report?

An incident report is a problem-solving document ; however, its completion is not documented in the nurse's notes. If the nursing supervisor has been made aware of the incident, the supervisor will contact the nurse if status update is desired.