the nurse receives report on four patients. the nurse recognizes which patient to be at nurse 1720

How many clients does the nurse review the laboratory results for?

The nurse reviews the laboratory results for 4 assigned clients. Which result is most important for the nurse to report to the primary health care provider? 1. Client with atrial fibrillation receiving warfarin for 7 days with an International Normalized Ratio (INR) of 1.3 2.

Which patient should be assigned to an RN or LPN?

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.

What does the nurse write in the note for the next shift?

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.

Which nursing intervention could have contributed to a sentinel event?

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.

What is the role of a nurse in a patient's anxiety?

The nurse should empathically validate the patient's sensations of anxiety. The presence of friends and family are frequently beneficial and oxygen supplementation promotes comfort. Antianxiety medications may be necessary for some patients, but alternative methods of relief should be prioritized.

What is the most common reason for hospitalization of people older than 65 years of age?

HF is the most common reason for hospitalization of people older than 65 years of age and is the second most common reason for visits to a physician's office. A potassium level of 4.7 mEq/L is within reference range and does not indicate an increased risk for HF.

What is pericardiocentesis in nursing?

The nurse is caring for a patient with severe left ventricular dysfunction who has been identified as being at risk for sudden cardiac death.

How many breaths should be given if breathing is absent?

If breathing is absent, two breaths should be given, usually accompanied by supplementary oxygen. Circulation is checked by palpating the carotid artery. A patient presents to the ED complaining of increasing shortness of breath. The nurse assessing the patient notes a history of left-sided HF.

What does a nurse notice when a client has a numb foot?

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.

What is a LPN?

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 .