5) after change-of-shift report which patient should the nurse assess first

When is a nurse assessing the reflexes of an infant?

A nurse in a pediatric clinic is assessing the reflexes of an infant who is 1 week old. Which of the following images demonstrates the correct procedure to elicit the palmer grasp reflex?

When should the nurse notify the health care provider?

After assessing the patient, the nurse should notify the health care provider. Finally, documentation of the assessments and care should be done 9 The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective? a.

What does the night shift nurse inform the day shift nurse?

During a change-of-shift report, a night shift nurse informs the day shift nurse that a newly admitted client was disoriented and combative during the night. Which of the following actions should the day shift nurse take?

What should a nurse tell a patient with a seizure disorder?

The nurse should inform the patient that most patients with seizure disorders are controlled with medication. The other information may be necessary if the seizures persist after treatment with antiseizure medications is implemented.

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.

What is included in a nursing change-of-shift report?

It should include the patient's medical history, current medication, allergies, pain levels and pain management plan, and discharge instructions. Providing these sorts of details about your patient in your end of shift report decreases the risk of an oncoming nurse putting the patient in danger.

What should the nurse do first before moving a client?

When preparing to move or position a patient, the nurse should first:Assemble adequate help to facilitate the change.Assess the patient's ability to assist with the change.Determine the effect of the patient's weight on the change.Decide upon the most effective method to facilitate the change.

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.

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.

Why do we have to make a report every after shift?

Why is the end-of-shift report important? An end-of-shift report is important because it helps the incoming nurse understand how to best care for their patients. They can quickly review a patient's medical history, allergies and the best course of action to take in case of an emergency.

Who is responsible for giving the end-of-shift report on the unit?

The LPN/LVN is responsible for giving end-of-shift reports. There are several types of reporting systems.

Why is change-of-shift report important?

The importance of a change-of-shift report can't be underestimated. Not only does the report provide nurses with an effective and meaningful way to transfer responsibility and accountability of patient care, it helps build team cohesion, enhances shared values, and supports ritualistic functions.

What should you assess before transferring a patient?

Ensure patient's privacy and dignity. Assess ABCCS/suction/oxygen/safety. Ensure tubes and attachments are properly placed prior to the procedure to prevent accidental removal. A slider board and full-size sheet or friction-reducing sheet is required for the transfer.

What should the nurse do first before moving a patient quizlet?

Terms in this set (10) When preparing to move a patient in bed, what will the nurse do first? Assemble adequate help to move the patient. Assess the patient's ability to help with moving.

Which of the following is the first step when transferring a patient from a bed to a stretcher?

Be sure the wheels of the bed are locked. Put a garbage bag or plastic slide board between the sheet and draw-sheet, beneath one edge of the patient's torso. Move the patient's legs closer to the edge of the bed. Instruct the patient to cross his or her arms across his or her chest, and explain the move to the patient.

Why do nurses move patients during seizure?

The nurse may need to move the patient to decrease the risk of injury during the seizure. A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work.".

Why is recording the length and details of a seizure important?

Because the diagnosis and treatment of seizures frequently are based on the description of the seizure, recording the length and details of the seizure is important. Insertion of an oral airway and restraining the patient during the seizure are contraindicated. The nurse may need to move the patient to decrease the risk of injury during the seizure.

What are the three characteristic manifestations of Parkinson's disease?

The diagnosis of Parkinson's is made when two of the three characteristic manifestations of tremor, rigidity , and bradykinesia are present. The confirmation of the diagnosis is made on the basis of improvement when antiparkinsonian drugs are administered. This patient has symptoms of tremor and bradykinesia .

What is MS associated with?

c. "MS is associated with an increased risk for congenital defects."

How to tell if you have an absence seizure?

Symptoms of an absence seizure are staring and a brief loss of consciousness. In an atonic seizure, the patient loses muscle tone and (typically) falls to the ground. Myoclonic seizures are characterized by a sudden jerk of the body or extremities.

What is the purpose of inserting an oral airway during a seizure?

a. Insert an oral airway during the seizure to maintain a patent airway.

Is chest pain a sign of MS?

ANS: B. Urinary tract problems with incontinence or retention are common symptoms of MS. Chest pain and skin rashes are not symptoms of MS. A decrease in libido is common with MS. A 31-year-old woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy.

When should a patient assessment be scheduled?

scheduled routinely, but it should be done only when patient assessment data indicate the need for

What is the head position of a patient's bed?

The head of the patient's bed should be positioned at 30

What technique does a RN use to suction a patient?

b. The RN uses a closed-suction technique to suction the patient.

How long after mechanical ventilation is initiated for chronic obstructive pulmonary disease?

Four hours after mechanical ventilation is initiated for a patient with chronic obstructive pulmonary disease

What is the temperature of a patient who was extubated in the morning?

a. Patient who was extubated in the morning and has a temperature of 101.4° F (38.6° C)

What is the purpose of a nurse in an emergency department?

answer. A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the client’s family to obtain consent.

What is a nurse manager?

A nurse manager is reviewing clients’ rights with the nurses on the unit. The nurse manager should tell the nurses that informed consent promotes which of the following ethical principles?

What is a nurse caring for?

answer. A nurse is caring for a client who has major depressive disorder and has signed an informed consent to receive electroconvulsive therapy (ECT).The client states to the nurse, “I’m not sure about this now. I’m afraid it’s too risky.”. Which of the following responses should the nurse make?

What is a nurse teaching self administration?

A nurse is teaching self-administration of insulin to a client who has a new prescription for a short-acting and intermediate-acting insulin. Which of the following actions by the client indicates an understanding of the teaching?