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

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?

Full Answer

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.

When should the nurse notify the health care provider?

After assessing the patient, the nurse should notify the health care provider. Finally, documentation of the assessments and care should be done 9 The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident. Which statement, if made by the patient, would indicate that teaching has been effective? 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 does the nurse monitor a patient after chest tube placement?

The nurse monitors a patient after chest tube placement for a hemopneumothorax. The nurse is most concerned if which assessment finding is observed? a. A large air leak in the water-seal chamber

Which patient should the nurse assess first after receiving a 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 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.

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.

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.

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 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.

What are the 4 choices every RN has when given an assignment?

Terms in this set (33)accept.refuse.refuse and request peer review (if disciplined)(301.352)accept and file safe harbor(303.005)

What is the most common reason nurses are disciplined by state boards of nursing?

The most frequent reason for discipline is practicing while impaired. SBNs set and enforce minimum criteria for nursing education programs. Schools of nursing must have state approval to operate.

Which behaviors by a nurse can result in the suspension or revocation of the nursing license?

Common causes of suspension or revocation of a nursing license include professional negligence; felony conviction for a crime that is related to nursing duties such as drug use but not failure to pay child support; practicing nursing without a license, such as on an expired license; and failure to report substandard ...