15 hours ago After you receive the change-of-shift report, which patient will you assess first? 1. 20 yr old with possible acute myelogenous leukemia who has just arrived on the medical unit 2. 38 yr old with aplastic anemia who needs teaching about decreasing infection risk before discharge >> Go To The Portal
The nurse should assess first the client's: a) respiratory status. b) level of consciousness. c) level of pain. Nice work! You just studied 7 terms! Now up your study game with Learn mode. After change of shift, you are assigned to care for the following patients. Which patient should you assess first?
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.
1. What is the priority nursing diagnosis for a client experiencing a migraine headache? 1. Acute Pain related to biologic and chemical factors 2. Anxiety related to change in or threat to health status 3. Hopelessness related to deteriorating physiologic condition 4. Risk for Injury related to side effects of medical therapy 1.
Measuring vital signs every 15 minutes after the procedure 4. Providing discharge instructions after the procedure Ans: 3 LPN/LVN education includes vital sign monitoring; an experienced LPN/LVN would recognize and report significant changes in vital signs to the RN.
The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.
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.
40. Which client would the newborn nursery nurse assess first after receiving shift report? 1. The newborn who has chignon.
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.
0:309:32Patient Prioritization for fundamentals. Part 1 - YouTubeYouTubeStart of suggested clipEnd of suggested clipNow obviously anyone who does have an airway breathing or circulation issue comes first in terms ofMoreNow obviously anyone who does have an airway breathing or circulation issue comes first in terms of priority.
In triage, a nurse typically prioritizes each patient's condition into one of three general categories: Immediately life threatening. Urgent, but not necessarily immediately life threatening. Less urgent.
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? 1. Breastfeeding should be discontinued until phototherapy is completed.
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.
WHICH CLIENT SHOULD THE NURSE ASSESS FIRST AFTER MORNING REPORT? Expiratory wheezes should be seen first as may indicate allergic reaction to the contrast.
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.
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.