which patient should the nurse assess first after taking change-of-shift report

The nurse should use the ABCs to determine which order to assess the patients. The nurse should assess the 48-year-old patient with respiratory problems first (shortness of breath and pulse oximeter reading of 88%). Can a PCA change a colostomy bag?

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Which response from the nurse discourages the patient from feeling hopeful?

The response beginning, "It is important that you be realistic" discourages the patient from feeling hopeful, which is important to patients with any life-threatening diagnosis. Which information will the nurse provide for a patient with newly diagnosed gastroesophageal reflux disease (GERD)? a.

Which patient actions should the nurse plan to control Gerd?

d. "I sleep with the head of the bed elevated on 4-inch blocks." ANS: B GERD is exacerbated by eating late at night, and the nurse should plan to teach the patient to avoid eating at bedtime. The other patient actions are appropriate to control symptoms of GERD. A 68-yr-old male patient with a stroke is unconscious and unresponsive to stimuli.

What should a nurse do if a patient has nausea and vomiting?

The nurse should avoid doing painful procedures close to mealtimes, but nausea or vomiting that occurs at other times also should be addressed. Keeping the patient NPO does not address the reason for the nausea and vomiting and will have an adverse effect on the patient's nutrition.

What does it mean when a nurse says thinking about dying?

The response beginning, "Thinking about dying" indicates that the nurse is not open to discussing the patient's fears of dying. The response beginning, "It is important that you be realistic" discourages the patient from feeling hopeful, which is important to patients with any life-threatening diagnosis.

Which patient would the nurse need to assess first after change-of-shift report?

The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.

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 of the following should be included in the change-of-shift report?

Change-of-Shift Report Should: Include significant objective information about the client's health problems. Proceed in a logical sequence. Include no gossip or personal opinion.

Which client should the newborn nursery nurse assess first after receiving shift report?

40. Which client would the newborn nursery nurse assess first after receiving shift report? 1. The newborn who has chignon.

How do you prioritize which patient to see first?

0:309:32Patient Prioritization for fundamentals. Part 1 - YouTubeYouTubeStart of suggested clipEnd of suggested clipNow obviously anyone who does have an airway breathing or circulation issue comes first in terms ofMoreNow obviously anyone who does have an airway breathing or circulation issue comes first in terms of priority.

Which patients should be seen first?

In triage, a nurse typically prioritizes each patient's condition into one of three general categories: Immediately life threatening. Urgent, but not necessarily immediately life threatening. Less urgent.

Which client does the nurse assess first after receiving the 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.

What is included in a nursing change-of-shift report?

It should include the patient's medical history, current medication, allergies, pain levels and pain management plan, and discharge instructions. Providing these sorts of details about your patient in your end of shift report decreases the risk of an oncoming nurse putting the patient in danger.

What is change-of-shift report in nursing?

Change-of-shift report is the time when responsibility and accountability for the care of a patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care giving.

Which client should the labor and delivery charge nurse assign to the most experienced nurse?

The most experienced nurse should be assigned to the client who requires teaching and evaluation of knowledge for home healthcare, because the client is in the surgery center for less than 1 day.

What instructions should the nurse include when teaching a mother whose newborn has hyperbilirubinemia regarding phototherapy and its effects?

What instructions should the nurse include when teaching a mother, whose newborn has hyperbilirubinemia, regarding phototherapy and its effects? 1. Breastfeeding should be discontinued until phototherapy is completed.

For which reason is a postpartum client encouraged to walk?

It can decrease that risk of blood clots that is even more prominent postpartum if a woman has had surgery.” Walking not only lets you test out how well your body feels after delivery — looking at you, vaginal tears — it also eases you back into physical activity without risking major injury.

What is initial assessment of patient?

6.1. 3 Initial Assessment for In Patient to be carried out by RMO, Treating Doctor or his / her Team Member (as appropriate) within one hour of admission to determine immediate care needs and to decide on plan of care. 6.1. 4 Nursing Initial Assessment is done within 30 minutes of patient admission into the ward.

What are the steps of nursing assessment?

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.

What is initial nursing assessment?

Definition/Introduction. The initial nursing assessment, the first step in the five steps of the nursing process, involves the systematic and continuous collection of data; sorting, analyzing, and organizing that data; and the documentation and communication of the data collected.

What is a quick priority assessment?

Quick priority assessments provide a guide for the nurse to quickly gather information to help in determining relative client stability and priorities for care. This approach is also helpful each time the nurse interacts with the client and in the event of an emergency.