a nurse on a medical surgical unit just received report. which patient should the nurse see first?

What does the nurse care for in a medical surgical unit?

The nurse cares for a group of clients in a medical surgical unit. The client with which diagnosis and condition requires the most immediate assistance by the nurse? Unlicensed assistive personnel report 4 situations to the registered nurse. Which situation warrants the nurse's intervention first? What does a deviated trachea indicate?

Which client should the nurse in the post-anesthesia care unit assess first?

Which client should the nurse in the post-anesthesia care unit (PACU) assess first? 1. The client who received general anesthesia who is complaining of a sore throat. 2. The client who had right knee surgery and has a pulse oximeter reading of 90%. 3. The client who received epidural surgery and has a palpable 2+ dorsalis pedal pulse.

What report does the nurse receive from the client?

The nurse receives a hand-off report. One client is described as a drug seeker who is obsessed with even tiny changes in physical condition and is "on the light constantly" asking for more pain medication. When assessing this client's pain, what statement or question by the nurse is most appropriate?

How many nurses are on a 20-bed surgical unit?

The charge nurse on a 20-bed surgical unit has one RN, two licensed practical nurses (LPNs), and two unlicensed assistive personnel (UAPs) for a 12-hour shift.

Which patient do you see first?

0:3920:00Who do you see first? Patient Prioritization and NCLEX questionsYouTubeStart of suggested clipEnd of suggested clipSo let's say you're looking at a question you want to know who is the priority patient. ThankMoreSo let's say you're looking at a question you want to know who is the priority patient. Thank yourself that they have a chronic situation or is it an acute situation.

Which client will the nurse assess first after receiving shift report?

Which client should the nurse on the vascular unit assess first after receiving the shift report? The client with an above the knee amputation who needs a full body lift to get in the wheelchair. The charge nurse of a long-term care facility is making assignments.

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.

How do you prioritize a patient to see first?

1:465:06How to PRIORITIZE your Patient Assignment | w/ NCLEX ? tipsYouTubeStart of suggested clipEnd of suggested clipYou start at the bottom and that is who you will start with first now i can say this can beMoreYou start at the bottom and that is who you will start with first now i can say this can be incredibly. Like i said challenging to figure out who you need to see.

Which patient should the nurse assess first?

Begin first with the patient who has the highest priority and progress to the patient who has the lowest priority. A nurse is performing a complete physical assessment of an adolescent.

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 event would require a nurse to complete and file an incident report?

The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone—patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required.

Which client should the emergency department triage nurse classify as emergent?

Clients with a chest stab wound and tachycardia, and with new-onset confusion and slurred speech, should be triaged as emergent.

How do you prioritize a patient?

5:039:32Patient Prioritization for fundamentals. Part 1 - YouTubeYouTubeStart of suggested clipEnd of suggested clipDefinitely take the post-op patient first because there's so many things that can happen with aMoreDefinitely take the post-op patient first because there's so many things that can happen with a fresh post-op patient we're talking to patients barely coming out of what's it called being sedated.

What is patient priority?

How does Patient Priorities Care work? Patient Priorities Care is an approach that involves aligning care among all of a patient's clinicians with what matters most to that patient—especially older patients who have multiple chronic conditions for whom evidence-based medicine might not exist or be the best choice.

What should I prioritize in nursing?

Prioritizing like a proA: Things that need to be addressed now (if you don't, the patient will suffer serious harm)B: Things that need to be addressed soon (you definitely can't ignore these issues)C: Things that need to be addressed today (not doing them would delay discharge or hinder routine care)More items...•

What is a nurse caring for?

A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take?

What is a precepting nurse?

A nurse is precepting a newly licensed nurse who is caring for a client who has suspected pulmonary tuberculosis. The nurse should recommend that the newly licensed nurse take which of the following actions? A. Place the client on droplet precautions. B. Place the client in a room with a postive pressure airflow.

What is the purpose of the Patient Self-Determination Act?

The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of life options. A nurse is assessing a client who is postoperative and has a PCA. The client exhibits restlessness, an elevated pulse, and decreased blood pressure.

What is practice B in ATI?

ATI Practice B Leadership and Management - Update. A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery.

Who is responsible for explaining surgery to the patient?

The surgeon is responsible for explaining the surgery to the patient, and the nurse should wait until the surgeon has clarified the surgery before having the patient sign the consent form. The nurse should communicate directly with the surgeon about the consent form rather than asking other staff to pass on the message.

What does a patient's statement indicate?

The patient's statement may indicate an unusually high anxiety level or a family history of problems such as malignant hyperthermia, which will require precautions during surgery. The other statements may also address the patient's concerns, but further assessment is needed first. Click again to see term 👆.

Why should teaching be directed toward both the patient and the wife?

The teaching should be directed toward both the patient and the wife because both will need to understand preoperative procedures and teaching. A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery.

What does a nurse do with an older man?

The nurse plans to provide preoperative teaching to an alert older man who has hearing and vision deficits. His wife usually answers most questions that are directed to the patient.

What does a patient tell the nurse when scheduled for elective hysterectomy?

A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will die in surgery like my mother did!" Which response by the nurse is most appropriate?

What should a nurse check for after a patent airway?

The nurse should first ensure a patent airway and check for breathing and circulation (airway, breathing, and circulation [ABCs]). Circulation and temperature can be assessed after a patent airway and breathing have been established.

Does having clear liquids before surgery increase risk for aspiration?

Having clear liquids a few hours before surgery does not usually increase risk for aspiration. A 38-year-old female is admitted for an elective surgical procedure.