after recieving change of shift report on the following four patients, which patient

Which patient will the nurse assess first after change of shift?

After change of shift report, which patient will the nurse assess first? A patient with a right femoral shaft fracture whose thigh is swollen and ecchymotic. Debridement of joints such as the knee or shoulder can easily take place in the outpatient setting.

Which physical findings are characteristic of acute decompensated heart failure (ADHF)?

A patient in the intensive care unit with acute decompensated heart failure (ADHF) complains of severe dyspnea and is anxious, tachypneic, and tachycardic. Several drugs have been ordered for the patient.

What is the correct nursing diagnosis for a 78-year-old with chronic heart failure?

During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient has ankle edema, a 2-kg weight gain over the past 2 days, and complains of "feeling too tired to get out of bed." Based on these data, a correct nursing diagnosis for the patient is a. activity intolerance related to fatigue.

When should a patient with hypertrophic cardiomyopathy consider heart transplantation?

The patient with terminal or end-stage cardiomyopathy may consider heart transplantation. The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy (HC). Which information obtained by the nurse is most important? a. The patient has a history of a recent upper respiratory infection.

Which client should the nurse assess first after receiving the 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.

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.

What is included in a nursing change-of-shift report?

Written by nurses who are wrapping up their shifts and provided to those nurses beginning the next shift, these details should include a patient's current medical status, along with his or her medical history, individual medication needs, allergies, a record of the patient's pain levels and a pain management plan, as ...

How do you report a patient to an incoming shift?

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 shift change in a hospital?

Shift changes happen regularly in hospitals, and these 'changes of the guard' can be dangerous. Shift changes have increased recently due to reductions in residency workload, a measure that is generally good, but that also means a greater number of people must discuss your care over the course of your hospital stay.

Why is change-of-shift report important?

The importance of a change-of-shift report can't be underestimated. Not only does the report provide nurses with an effective and meaningful way to transfer responsibility and accountability of patient care, it helps build team cohesion, enhances shared values, and supports ritualistic functions.

What does shift change mean?

1 : to exchange for or replace by another : change. 2a : to change the place, position, or direction of : move. b : to make a change in (place) 3 : to change phonetically.

What should a nursing handoff report include?

Nurses complete their handoff report with evaluations of the patient's response to nursing and medical interventions, the effectiveness of the patient-care plan, and the goals and outcomes for the patient. This category also includes evaluation of the patient's response to care, such as progress toward goals.

What should a patient handover include?

The handover of each patient is generally made up of three sections:Past: historical info. The patient's diagnosis, anything the team needs to know about them and their treatment plan. ... Present: current presentation. ... Future: what is still to be done.

How do you write the end of a shift report?

5 Tips for an Effective End-of-Shift ReportGive a Bedside Report. “Check pertinent things together such as skin, neuro, pulses, etc. ... Be Specific, Concise and Clear. “Stay on point with the 'need to know' information. ... When in Doubt, Ask for Clarification. ... Record Everything. ... Be Positive!

How many types of nursing reports are there?

There are different types of nursing reports described in the literature, but the four main types are: a written report, a tape-recorded report, a verbal face-to-face report conducted in a private setting, and face-to-face bedside handoff.

What questions should a nurse consider when receiving a report?

Questions to Ask During Nursing Report:Does that patient have any family?Who is the patient's primary contact if something was to happen?Does the patient have any type of testing that they must be NPO for?Does the patient need assistance eating, showering, or using the bathroom?More items...

What should a nurse assess for?

The nurse should immediately assess this patient for other findings such as dyspnea or chest pain. The findings in the other patients are typical of their diagnoses and do not indicate a need for urgent assessment and intervention.

Does dilated cardiomyopathy cause heart failure?

Because dilated cardiomyopathy does not respond well to therapy, even patients with good compliance with therapy may have recurrent episodes of heart failure . Elevation of the legs above the heart will worsen symptoms (although this approach is appropriate for a patient with hypertrophic cardiomyopathy).