he nurse receives report, which patient should the nurse assess fir freezingblue

How should the nurse prepare for diagnostic testing to confirm pulmonary embolus?

A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis? a. Ensure that the patient has been NPO.

When does a nurse give a Bed Bath to an assigned client?

The nurse is giving a bed bath to an assigned client when an unlicensed assistive personnel (UAP) enters the client's room and tells the nurse that another assigned client is in pain and needs pain medication. Which is the most appropriate nursing action? 1.

Which client should the nurse plan to care for first?

After making initial rounds and checking all of the assigned clients, which client should the nurse plan to care for first? 1. A client who is ambulatory 2. A client scheduled for physical therapy at 1 pm 3. A client with a fever who is diaphoretic and restless 4. A postoperative client who has just received pain medication 3.

How many sputum specimens should a nurse expect to expectorate?

Instruct the patient to expectorate three specimens as soon as possible. c. Teach about the need to get sputum specimens for 2 to 3 consecutive days. A patient is admitted with active tuberculosis (TB). The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?

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 will the nurse assess first after receiving 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 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 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 of the following clients is the most appropriate candidate for receiving outpatient care?

Which of the following clients is the most appropriate candidate for receiving outpatient care? Outpatient services are appropriate for clients who are medically stable but who require diagnostic testing, such as a colonoscopy.

Which client should the nurse in the post anesthesia care unit assess first?

Assessment of the patient's pain is the first priority.

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 of the following best defines nursing diagnoses?

According to NANDA-I, the official definition of the nursing diagnosis is: “Nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.

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.

Which equipment must the RN use when providing direct care to a client on contact precautions select all that apply?

Health care personnel caring for patients on Contact Precautions must wear a gown and gloves for all interactions that involve contact with the patient and the patient environment.

Which measures will the nurse take to reduce reservoirs of infection?

Standard precautions. Wearing gloves when touching blood, body fluids, mucous membranes or broken skin. Using other personal protective equipment (PPE) such as masks, gowns or eyewear when blood or other bodily fluids may splash or spray. Following isolation protocols and use of respirators.

Why do patients repeat instructions?

Because the patient is likely to be distracted just before discharge, giving discharge instructions just before discharge is not ideal.

What to do after noting absent fremitus?

After noting absent fremitus, the nurse should then auscultate the lungs to assess for the presence or absence of breath sounds. Absent fremitus may be noted with pneumothorax or atelectasis. The vibration is increased in conditions such as pneumonia, lung tumors, thick bronchial secretions, and pleural effusion.

What is Kussmaul respiration?

Kussmaul (deep and rapid) respirations are a compensatory mechanism for metabolic acidosis. The low pH and low bicarbonate result indicate metabolic acidosis. Intercostal retractions, a low oxygen saturation rate, and a decrease in venous O2 pressure would not be caused by acidosis. 4.

What is labeling of specimens in UAP?

Labeling of specimens is within the scope of practice of UAP. The other actions require nursing judgment and should be done by licensed nursing personnel. 1. A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media.