after receiving a change-of-shift report, which patient should the rn assess first?

Which response from the nurse discourages the patient from feeling hopeful?

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.

What does the nurse learn about aspiration pneumonia during change of shift?

During change-of-shift report on a medical unit, the nurse learns that a patient with aspiration pneumonia who was admitted with respiratory distress has become increasingly agitated. Which action should the nurse take first? a.

What does the staff nurse do to the patient before turning?

The staff nurse administers a mild analgesic before turning the patient. d. The staff nurse suctions the patient every 2 hours Suctioning increases intracranial pressure and is done only when the patient's respiratory condition indicates it is needed. The other actions by the staff nurse are appropriate.

What should the nurse do if the QRS interval increases?

Check the medical record for the most recent potassium level. ANS: D The increasing QRS interval is suggestive of hyperkalemia, so the nurse should check the most recent potassium and then notify the patient's health care provider.

Which patient would the nurse need to assess first after change of shift report?

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

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 client should the newborn nursery nurse assess first after receiving shift report?

40. Which client would the newborn nursery nurse assess first after receiving shift report? 1. The newborn who has chignon.

Which of the following should be included in the change of shift report?

Change-of-Shift Report Should: Include significant objective information about the client's health problems. Proceed in a logical sequence. Include no gossip or personal opinion.

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 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.

Which client should the labor and delivery charge nurse assign to the most experienced nurse?

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

What instructions should the nurse include when teaching a mother whose newborn has hyperbilirubinemia regarding phototherapy and its effects?

What instructions should the nurse include when teaching a mother, whose newborn has hyperbilirubinemia, regarding phototherapy and its effects? 1. Breastfeeding should be discontinued until phototherapy is completed.

For which reason is a postpartum client encouraged to walk?

It can decrease that risk of blood clots that is even more prominent postpartum if a woman has had surgery.” Walking not only lets you test out how well your body feels after delivery — looking at you, vaginal tears — it also eases you back into physical activity without risking major injury.

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 is change of shift report in nursing?

Change-of-shift report is the time when responsibility and accountability for the care of a patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care giving.

In which step of the nursing process do you document all that you did for the client?

the evaluation / outcomes stepIn which step of the nursing process do you document all that you did for the client? 23. In the evaluation / outcomes step of the nursing process you document the client's response to your interventions including any unexpected responses.

Can family members remain in the room during CPR?

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 👆.

Should ICU visitation be individualized?

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.

What should a nurse check for in ARDS?

The nurse should check for hypoxemia, a hallmark of ARDS. The health care provider should be notified after further assessment of the patient. Giving the scheduled antibiotic and the PRN acetaminophen will also be done, but they are not the highest priority for a patient who may be developing ARDS.

How long after heart surgery does a patient develop dyspnea?

The other drugs are appropriate for the patient with ARDS. A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure, the nurse will plan to assist with.

What does it mean when your respiration drops to 10 breaths?

The patient's respirations have dropped to 10 breaths/minute. ANS: D. A drop in respiratory rate in a patient with respiratory distress suggests the onset of fatigue and a high risk for respiratory arrest. Therefore immediate action such as positive-pressure ventilation is needed.