3 hours ago 18. After the nurse has received change-of-shift report, which patient should the nurse assess first? a. A patient with pneumonia who has crackles in the right lung base b. A patient with chronic bronchitis who has a low forced vital capacity c. A patient with possible lung cancer who has just returned after bronchoscopy d. >> Go To The Portal
The nurse is assessing a 22 year old patient experiencing the onset of symptoms of type 1 diabetes. To which question would the nurse anticipate a positive response? a. "Do you crave sugary drink?"
This patient should be assigned to a RN. 3. The LPN will require assistance from a RN for administering the medication by mouth. 4. The charge nurse of the unit should be notified. 2. This patient should be assigned to a RN. Patients with a chest tube require more monitoring and assessment and should therefore be assigned to a RN.
The nurse cares for a patient on an acute cardiac unit. The nurse writes her note for the next shift. It is vital to communicate which of the following information to the next shift? 1. Vital signs during the shift, lab work drawn on the patient, and nutritional intake. 2. The patient's physician's name, the patient's age, and activity tolerance.
The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider? a.
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.
Ineffective communication was identified as the root cause for nearly 70% of all sentinel events reported. The majority of those untoward events involved communication failure.
Which of the following is the best guarantee that the patient's priority needs are met? The best source of information about the priority needs of the patient is the patient himself. Hence using a nursing care plan based on his expressed priority needs would ensure meeting his needs effectively. 19.
When a nurse prioritizes the patient care, consideration is given to: considering situations that may result in an alteration of health. When the nurse checks to see whether a patient has had relief 45 minutes after administering pain medication, the nurse is performing a(n): evaluation.
Quality Reports include:Accreditation decision and date.Programs and services accredited by The Joint Commission and other bodies.National Patient Safety Goal performance.Hospital National Quality Improvement Goal performance.Special quality awards.
A sentinel event is a Patient Safety Event that reaches a patient and results in any of the following:Death.Permanent harm.Severe temporary harm and intervention required to sustain life.
The five priorities focus on: recognising that someone is dying; communicating sensitively with them and their family; involving them in decisions; supporting them and their family; and creating an individual plan of care that includes adequate nutrition and hydration.
Rationale: High priority is related to life-threatening needs of the patients. If life-threatening needs are untreated, the patients may die. Nonurgent needs are intermediate priorities, not high. Focusing on the patient's long-term health care needs is a low priority, not a high priority.
Any nursing diagnoses that directly relate to survival or a threat to the patient's mortality should be prioritized first. This may be related to the patient's access to air, water, or food, defined as the necessities of survival.
1:465:06How to PRIORITIZE your Patient Assignment | w/ NCLEX ? tipsYouTubeStart of suggested clipEnd of suggested clipYou start at the bottom and that is who you will start with first now i can say this can beMoreYou start at the bottom and that is who you will start with first now i can say this can be incredibly. Like i said challenging to figure out who you need to see.
Priority setting can be defined as the ordering of nursing problems using notions of urgency and/or importance, in order to establish a preferential order for nursing actions.
The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective.
Because the patient is likely to be distracted just before discharge, giving discharge instructions just before discharge is not ideal.
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.