the nurse gets the handoff report on four patients which patient would the nurse assess first

by Krystina Marks 8 min read

The nurse receives a handoff report on four patients - Course Hero

18 hours ago  · The nurse receives a handoff report on four patients. Which patient should the nurse assess first? Answer: Pulse 42 beats per minute. The nurse would identify which patient as having a problem of impaired gas exchange secondary to a perfusion problem? A patient with Answer: peripheral arterial disease of the lower extremities Reason: Perfusion ... >> Go To The Portal


How does the nurse assess a client presenting to the emergency room?

A client presents to the emergency room with dyspnea, chest pain, and syncope. The nurse assesses the client and notes that the following assessment cues: pale, diaphoretic, blood pressure of 90/60, respirations of 33. The client is also anxious and fearing death.

What should the nurse assess first when planning care for a client?

The nurse plans care for a client in the post anesthesia care unit. The nurse should assess first the client's: a) respiratory status. b) level of consciousness.

What does a a nurse do when a client falls?

A nurse is caring for a client who has fallen while getting out of bed and states, "I'm okay! I guess I should have called for help to the bathroom." After assessing the client, the nurse notifies the provider.

What cues does the nurse use to assess the client?

The nurse assesses the client and notes that the following assessment cues: pale, diaphoretic, blood pressure of 90/60, respirations of 33. The client is also anxious and fearing death. Which action should the nurse take first?

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 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.

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.

In what order should the home health nurse See assigned clients 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 actions by a nurse are reportable to the state Board of nursing?

Who Can/Should file a complaint with the Board of Registered Nursing?gross negligence or incompetence.unprofessional conduct.license application fraud.misrepresentation.substance abuse.mental illness.unlicensed activity.

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.

Which client is the priority when triaging clients in the emergency department?

A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first? A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable.

What is Category 4 triage?

Category 4. A non-urgent problem, such as stable clinical cases, which requires transportation to a hospital ward or clinic.

What does a nurse do when a client has a gunshot wound?

Since the client has gunshot wounds and is bleeding, the nurse applies personal protective equipment (i.e., gloves) prior to care. This takes priority over calling law enforcement. Requesting blood bank products can be delegated. The nurse may or may not have to prepare the client for emergency surgery.

What is the pulse rate of a nurse after surgery?

A nurse is caring for a client after surgery. The client's respiratory rate has increased from 12 to 18 breaths/min and the pulse rate increased from 86 to 98 beats/min since they were last assessed 4 hours ago.

What is reassurance in nursing?

Reassurance is a therapeutic nursing action, but the nurse needs to do more in this situation. 5. A client is in shock and the nurse prepares to administer insulin for a blood glucose reading of 208 mg/dL. The spouse asks why the client needs insulin as the client is not a diabetic.