a nurse has just finished getting shift report. which patient should the nurse see first?

by Kari Armstrong 8 min read

The nurse has just finished change of shift report. Which …

29 hours ago  · 28-The nurse has just received shift report. Which client should be seen first? 1. Client 1 day post-op abdominal aortic aneurysm (AAA) repair who has hypoactive bowel sounds in all 4 quadrants 2. Client 2 days post-op below-the-knee amputation (BKA) who reports same-leg foot pain rated as 7 on the pain scale 3. Client with a deep venous thrombosis (DVT) who is up … >> Go To The Portal


What is an RN preparing at the beginning of the shift?

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN? a. Providing postmortem care for a client b.

How many hours does the nurse return to assess the patient?

The nurse returns in one hour and assesses the patient. Which ethical principal has guided this action? A nurse turns a patient every 2 hours to prevent pressure ulcers, even though turning the patient is uncomfortable. Which ethical principal guides this action?

Which client should the nurse assess first?

Which client should the nurse assess first? 1. The client with Guillain-Barré syndrome who has ascending paralysis to the knees. 2. The client with a C-6 spinal cord injury who has autonomic dysreflexia.

What does a a nurse do when a client falls?

A nurse is caring for a client who has fallen while getting out of bed and states, "I'm okay! I guess I should have called for help to the bathroom." After assessing the client, the nurse notifies the provider.

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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.

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 actions by a nurse are reportable to the state Board of Nursing?

Who Can/Should file a complaint with the Board of Registered Nursing?gross negligence or incompetence.unprofessional conduct.license application fraud.misrepresentation.substance abuse.mental illness.unlicensed activity.

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.

In which order would the nurse care for clients according to priority of care based on triage tag color quizlet?

Red-tagged clients have major injuries, black-tagged clients are expected and allowed to die, and yellow-tagged clients have major injuries.

What is the basic sequence of nursing triage?

Once the "minor" injuries are out of the area, responders should begin to move and triage patients with the RPM acronym; respirations, perfusion, and mental status.

Which client is the priority when triaging clients in the emergency department?

A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first? A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable.

What happens when a nurse is reported to the board?

Once a complaint hits their desk, the board has to determine if the facts as stated in the complaint are a violation of the laws that govern a nurse's practice. If so, an investigation is initiated, and the nurse may respond to the allegations. The board then resolves the complaint. It may or may not require a hearing.

Which of the following may be issued when an investigation concludes that a nurse poses an immediate threat to the health safety and welfare of the people of Florida?

Emergency actions usually take the form of a summary suspension of a nurse's license. The general standard for this action is clear and convincing evidence that continued practice by the nurse would present a danger of immediate and serious harm to the public. This action may be revised after the full investigation.

What are the 4 choices every RN has when given an assignment?

Terms in this set (33)accept.refuse.refuse and request peer review (if disciplined)(301.352)accept and file safe harbor(303.005)

Why is it important to get a nursing report before you start your shift?

It is not only important for the nurse but for the patient as well. Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient.

Why do nurses give reports outside of the room?

If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended.

What does SBAR stand for in nursing?

SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.

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