after the nurse has received change-of-shift report, which patient should the nurse assess first?

When is a physical exam indicated in the evaluation of respiratory distress?

When a patient has severe respiratory distress, only information pertinent to the current episode is obtained, and a more thorough assessment is deferred until later. Obtaining a comprehensive health history or full physical examination is unnecessary until the acute distress has resolved.

What should a nurse do if a patient has a barrel-shaped chest?

The nurse should immediately accomplish further assessments, such as O2 saturation, and notify the health care provider. A barrel-shaped chest, hyperresonance to percussion, and a weak cough effort are associated with aging.

How does the Student Conduct a respiratory assessment of the patient?

The student starts at the apices of the lungs, moving down toward the lung bases. d. The student instructs the patient to breathe slowly and deeply through the mouth. Listening only during inspiration indicates the student needs a review of respiratory assessment skills.

How do you do a respiratory assessment in nursing?

The student instructs the patient to breathe slowly and deeply through the mouth. Listening only during inspiration indicates the student needs a review of respiratory assessment skills. At each placement of the stethoscope, listen to at least one cycle of inspiration and expiration.

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 questions would the nurse include as part of a focused respiratory health assessment?

A focused respiratory system assessment includes collecting subjective data about the patient's history of smoking, collecting the patient's and patient's family's history of pulmonary disease, and asking the patient about any signs and symptoms of pulmonary disease, such as cough and shortness of breath.

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.

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.

For which patient would a focused assessment be appropriate?

1. Know when to use the focused exam. Broadly, while the head-to-toe exam is generally reserved for trauma patients, the focused exam is generally utilized for medical patients. Consider the mechanism for a trauma patient when determining whether to use the head-to-toe exam.

How do you assess respiratory system?

Ask the patient to breathe slowly and deeply through their open mouth. Using the diaphragm of your stethoscope, listen in the ladder pattern posterior (Figure 1) and anterior (Figure 2), noting the breath sounds (Table 2). Listen in each area for at least one full breath.

What are the 4 types of nursing assessments?

4 types of nursing assessments:Initial assessment. Also called a triage, the initial assessment's purpose is to determine the origin and nature of the problem and to use that information to prepare for the next assessment stages. ... Focused assessment. ... Time-lapsed assessment. ... Emergency assessment.

What should an increased need for a rapid-acting bronchodilator alert the patient?

The increased need for a rapid-acting bronchodilator should alert the patient that an acute attack may be imminent and that a change in therapy may be needed. The patient should be taught to contact a health care provider if this occurs. The other data do not indicate any need for additional teaching.

What does increased pulse, low oxygen saturation, tachypnea mean?

The increased pulse, low oxygen saturation, and tachypnea all indicate a need for further assessment or intervention but do not indicate a need to modify the CT procedure. The nurse analyzes the results of a patient's arterial blood gases (ABGs).

What are barrel shaped chests associated with aging?

A barrel-shaped chest, hyperresonance to percussion, and a weak cough effort are associated with aging. Further evaluation may be needed, but immediate action is not indicated.