35 hours ago View full document. After change-of-shift report, which patient should the nurse assess first? a. 72-year-old with cor pulmonale who has 4+ bilateral edema in his legs and feet b. 28-year-old with a history of a lung transplant and a temperature of 101° F (38.3° C) c. 40-year-old with a pleural effusion who is … >> Go To The Portal
The nurse should assess first the client's: a) respiratory status. b) level of consciousness. c) level of pain. Nice work! You just studied 7 terms! Now up your study game with Learn mode. After change of shift, you are assigned to care for the following patients. Which patient should you assess first?
The response beginning, "It is important that you be realistic" discourages the patient from feeling hopeful, which is important to patients with any life-threatening diagnosis. Which information will the nurse provide for a patient with newly diagnosed gastroesophageal reflux disease (GERD)? a.
d. "I sleep with the head of the bed elevated on 4-inch blocks." ANS: B GERD is exacerbated by eating late at night, and the nurse should plan to teach the patient to avoid eating at bedtime. The other patient actions are appropriate to control symptoms of GERD. A 68-yr-old male patient with a stroke is unconscious and unresponsive to stimuli.
The nurse should avoid doing painful procedures close to mealtimes, but nausea or vomiting that occurs at other times also should be addressed. Keeping the patient NPO does not address the reason for the nausea and vomiting and will have an adverse effect on the patient's nutrition.
The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.
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 CLIENT SHOULD THE NURSE ASSESS FIRST AFTER MORNING REPORT? Expiratory wheezes should be seen first as may indicate allergic reaction to the contrast.
In triage, a nurse typically prioritizes each patient's condition into one of three general categories: Immediately life threatening. Urgent, but not necessarily immediately life threatening. Less urgent.
Research indicates that family members want the option of remaining in the room during procedures such as cardiopulmonary resuscitation (CPR) and that this decreases anxiety and facilitates grieving. The other options may be appropriate if the family decides not to remain with the patient. Click again to see term 👆.
ICU visiting should be individualized to each patient and family rather than being dictated by rigid visitation policies. Inviting the family to participate in a multidisciplinary conference is appropriate but should not be the initial action by the nurse.