after receiving report, which of the following patients should the nurse see first? a patient:

How often should the nurse assist the patient to the commode?

Assist the patient to the commode every 2 hours during the day A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?

How does the home care nurse assess a client with PD?

The home care nurse is doing an admission assessment on a client discharged from the hospital with a diagnosis of PD. When assessing the client's neurological status, the nurse would find a client with: B. A shuffling and propulsive gait

What does the nurse observe the 74-year-old man rocking side to side?

The nurse observes a 74-year-old man with Parkinson's disease rocking side to side while sitting in the chair. Which action by the nurse is most appropriate? A. Provide the patient with diversional activities. B. Document the activity in the patient's health record. C. Take the patient's blood pressure sitting and standing.

What should be the first action of the nurse in pericarditis?

The patient's clinical manifestations and history are consistent with pericarditis, and the first action by the nurse should be to listen for a pericardial friction rub. Checking the temperature and notifying the health care provider are also appropriate actions but would not be done before listening for a rub.

Which patient should the nurse see first?

Again, that goes airway, breathing, circulation, safety, then pain, education, and feelings. If we refer to test taking or working on the four, whatever option, whatever patient care, whatever plan you need to implement that becomes closest to a, to airway, is the most important thing. That's what you need to do first.

How do you know which patient to 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 of following patients should the nurse assess first after receiving a change of 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.

What did the Joint Commission identify as the primary cause of untoward events that occured in the hospital?

Ineffective communication was identified as the root cause for nearly 70% of all sentinel events reported. The majority of those untoward events involved communication failure.

How do you prioritize a patient?

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 nursing priority?

Priority setting can be defined as the ordering of nursing problems using notions of urgency and/or importance, in order to establish a preferential order for nursing actions.

Which is the correct order of phases A client experiences in the event of a change in body image?

When a change in body image occurs, patients go through different phases in adjusting to the change. The five phases include shock, withdrawal, acknowledgment, acceptance, and rehabilitation.

What information should the nurse include when using the SBAR technique?

This includes patient identification information, code status, vitals, and the nurse's concerns. Identify self, unit, patient, room number. Briefly state the problem, what is it, when it happened or started, and how severe.

When a nurse feels like she is the only one who understands the patient what is that called?

Empathy permits the nurse to see an event from the patient's perspective, understand the patient's feelings, and communicate this to the patient. The incorrect responses are nurse- centered (focusing on the nurse's feelings rather than the patient's), belittling, and sympathetic. You just studied 85 terms!

What should be reported to the Joint Commission?

Quality Reports include:Accreditation decision and date.Programs and services accredited by The Joint Commission and other bodies.National Patient Safety Goal performance.Hospital National Quality Improvement Goal performance.Special quality awards.

Which of the following would be considered sentinel events that should be reported to the Joint Commission?

A sentinel event is a Patient Safety Event that reaches a patient and results in any of the following:Death.Permanent harm.Severe temporary harm and intervention required to sustain life.

What is the required reporting timeline for reporting patient safety events?

within 24 hoursTo date, hospitals have been required to report an adverse event that is an ongoing urgent or emergent threat to the welfare, health, or safety of patients, personnel, or visitors within 24 hours.

What is labor and delivery nurse?

The labor and delivery nurse who is not experienced with the needs of cardiac patients should be assigned to those with the least acute needs. The patient who is one-week post-operative and nearing discharge is likely to require routine care.

What are the effects of right sided heart failure?

Weight gain, nausea, and a decrease in urine output are secondary effects of right-sided heart failure. Cardiomyopathy is usually identified as a symptom of left-sided heart failure. Left-sided heart failure causes primarily pulmonary symptoms rather than systemic ones.

Does a CNA need to monitor ECG?

Patients also should be instructed about the need to perform daily weights upon discharge to monitor body water. It is not within the role of the CNA to monitor ECG readings, and ambulation is not an assessment. Vital signs every 15 minute are not necessary for this level of patient care.

Should patients continue to use incentive spirometers?

The patient should continue use of the incentive spirometer to keep airways open and free of secretions. Answer: C. It is always critical that patients being discharged from the hospital take prescribed medications as instructed.

How to provide patient safety?

Another way to provide patient safety is through hand hygiene, especially when working with a patient’s IV line. Be sure to wash your hands, wear gloves, and scrub the hub for 15 seconds prior to connecting tubing to prevent central line associated bloodstream infection. Hospital falls are another safety concern.

What is the responsibility of a RN?

Rather, it is the RN’s responsibility, as well as her/his right, to confirm and ask the patient if they understand what is going to happen to them. Thus, look to see if the patient looks confused, or ask if they have any questions before signing consent as a witness.

What is the NCLEX test?

What's tested on the NCLEX: Safe and Effective Care Environment. The NCLEX-RN exam is designed to challenge your ability critically think through information provided to make safe and sound judgements about patient care. If you are a student that focuses primarily on memorizing every drug, every nursing intervention, and every disease process, ...

What is the first subcategory of the Safe and Effective Care Environment?

The first subcategory of the Safe and Effective Care Environment client need is Management of Care , which accounts for about 20 percent of the questions on the exam. Nursing actions that are covered in this subcategory include:

What is the role of RN in healthcare?

The RN is the health care professional spending a majority of time with the patient. Thus, it’s also the person who knows the patient best among the healthcare team. In advocating for the patient and managing their care effectively, it is the RN’s responsibility to make sure informed consent is obtained before procedures.

Why is confidentiality important in healthcare?

Keep information confidential. Confidentiality is an important part of a safe and effective care environment . This includes asking a patient if he/she is comfortable answering questions and talking about their health care with family members in the room.

Can a nursing assistant pass out medications?

In other words, a patient care technician should not be passing out medications.