16 hours ago · See Page 1. The nurse receives a handoff report on four patients. Which patient should the nurse assess first? Answer: Pulse 42 beats per minute. 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 ... >> Go To The Portal
The nurse receives report on 4 clients. Which client should the nurse see first ? Clients who have had a stroke can experience cognitive dysfunction (eg, confusion), neglect on one side, deficits in spatial perception, and paralysis (hemiplegia), all of which increase the risk for injury (eg, falls).
Which nursing intervention could have contributed to a sentinel event? 1. Administered flumazenil to a client who overdosed on lorazepam 2. Administered insulin/dextrose to a client with potassium level of 7.2 mEq/L (7.2 mmol/L) 3. Administered warfarin to a client with International Normalized Ratio of 6 4.
A staff nurse automatically takes a lunch break first every day instead of asking other staff nurses about their preferences. Another nurse would like to take the first lunch break time sometimes. Which is the best way for the staff nurse to handle the situation initially? 1. Ask the nurse manager to talk to the nurse who takes the first break time
The office nurse receives 4 telephone messages. Which client should the nurse call back first? The pediatric nurse receives report on 4 clients. Which client should the nurse see first? - Following the procedure, the client will need to be monitored for complications such as bleeding, bronchial perforation, pneumothorax, and bronchial spasm.
The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.
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.
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.
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 THE NURSE ASSESS FIRST AFTER MORNING REPORT? Expiratory wheezes should be seen first as may indicate allergic reaction to the contrast.
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.
Maslow identifies five levels of human needs: physiological, safety or security, love and belonging, esteem, and self-actualization. Because physiological needs are necessary for survival, they have the highest priority and must be met first.
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.
Prioritizing like a proA: Things that need to be addressed now (if you don't, the patient will suffer serious harm)B: Things that need to be addressed soon (you definitely can't ignore these issues)C: Things that need to be addressed today (not doing them would delay discharge or hinder routine care)More items...•
Category 4. A non-urgent problem, such as stable clinical cases, which requires transportation to a hospital ward or clinic.
The triage registered nurse might assign you a priority level based on your medical history and current condition according to the following scale: Level 1 – Resuscitation (immediate life-saving intervention); Level 2 – Emergency; Level 3 – Urgent; Level 4 – Semi-urgent; Level 5 – Non-urgent.
In general, triage categories can be expressed as a Description (immediate; Urgent; Delayed; Expectant), Priority (1 to 4), or Color (Red, Yellow, Green, Blue), respectively, where Immediate category equals Priority 1 and Red color [1,2]. ...
The mental status of the client should be assessed by the nurse....1. To obtain baseline information2. To develop a plan for nursing care3. To evaluate effectiveness of interventionsOngoing assessment.System-specific assessment.Focused-physical assessment.
When nurses are conducting health assessment interviews with older clients, they should:Leave a written questionnaire for clients to complete at their leisure.Ask family members rather than the client to supply the necessary information.More items...
Which of the following client care concerns is clearly a nursing responsibility? Feedback: Monitoring for health status changes is clearly a nursing responsibility.
What are 6 purposes of assessment? Screening, determine diagnosis/differential diagnosis, determine eligibility for services, establish baseline, develop intervention targets, track and document progress.
A nurse notices that a client who is 1-day postoperative knee replacement surgery has a cool numb foot with a weak peripheral pulse. The nurse pages and asks the health care provider (HCP) to come see the client. The HCP states that the client's foot has been like that since surgery and that there is no need to come.
1. LPN assigned to a client with a gastrointestinal bleed and hypotension who is receiving blood and requires vital sign monitoring every hour . 2. LPN assigned to a newly admitted client with a bowel obstruction who is experiencing severe abdominal pain .