after the nurse receives report, which patient should the nurse assess first?

How often does the staff nurse assess neurologic status?

a. The staff nurse assesses neurologic status every hour. b. The staff nurse elevates the head of the bed to 30 degrees. The staff nurse suctions the patient routinely every 2 hours.

What should the staff nurse do before turning the patient?

The staff nurse administers an analgesic before turning the patient. Suctioning increases intracranial pressure and should only be done when the patient's respiratory condition indicates it is needed. The other actions by the staff nurse are appropriate.

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.

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 of the following clients should the nurse assess first?

Which of the following clients should the nurse assess first? *When using the acute versus chronic approach to client care, the nurse should place the priority on the client who has a chest tube and has asymmetrical chest movement because this can indicate a tension pneumothorax.

Which client should the nurse assess first after receiving 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 client in the emergency department would the nurse assess first quizlet?

Terms in this set (90) The nurse receives report on 4 clients. Which client should the nurse assess first? After receiving report, the nurse should assess clients with airway and respiratory problems first (eg, airway, breathing, circulation).

When triaging emergency room clients which client should the nurse assess first?

Nurse triage is needed in a number of situations, including within the emergency department. The nurse must assess which client is at the highest risk of being in a life-threatening situation. The first client who must be assessed is the one who has a situation that threatens the airway, breathing, or circulation.

Which client should be assigned to the most experienced nurse?

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

Which client should the charge nurse on the respiratory unit assign to the graduate nurse who just completed orientation?

Which client should the charge nurse on the respiratory unit assign to the graduate nurse who just completed orientation? The client diagnosed with bronchiolitis who has a wheezy cough and rapid breathing.

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 action would be the nurse's first priority when receiving a client with major burns?

All patients with severe burns should be hospitalized. The first priority in treating the burn victim is to ensure that the airway (breathing passages) remains open. Associated smoke inhalation injury is very common, particularly if the patient has been burned in a closed space, such as a room or building.

In which order would the nurse care for clients according to priority of care based on triage tag color quizlet?

Red-tagged clients have major injuries, black-tagged clients are expected and allowed to die, and yellow-tagged clients have major injuries.

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 event would require a nurse to complete and file an incident report?

The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone—patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required.

Which client should the emergency department triage nurse classify as emergent?

Clients with a chest stab wound and tachycardia, and with new-onset confusion and slurred speech, should be triaged as emergent.

What is the first step in pancreatitis screening?

Because the abuse of alcohol is a common factor associated with the development of pancreatitis, the first assessment step is to screen for alcohol use using a validated screening questionnaire. The SMAST-G is a short-form alcoholism screening instrument tailored specifically to the needs of the older adult.

What is the blood alcohol level of a patient after an automobile accident?

The blood alcohol concentration (BAC) is 110 mg/dL (0.11 mg%).

Why is thiamine given before dextrose?

Because Wernicke's encephalopathy can be precipitated by the administration of glucose solutions, the thiamine should be given before (or concurrently with) the 5% dextrose solution.

Why do you need a lower dose of anesthesia for intoxicated patients?

In an intoxicated patient, a lower dose of anesthesia is used because of the synergistic effect of the alcohol.