which patient should you assess first after taking change-of-shift report patho quizlet

Which response discourages the patient from feeling hopeful after a diagnosis?

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. "Peppermint tea may reduce your symptoms." b.

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 be done with the patient's vital signs and ICP?

a. Document the BP and ICP in the patient's record. b. Report the BP and ICP to the health care provider. c. Elevate the head of the patient's bed to 60 degrees. d. Continue to monitor the patient's vital signs and ICP.

What does the staff nurse do to the patient before turning?

The staff nurse administers a mild analgesic before turning the patient. d. The staff nurse suctions the patient every 2 hours Suctioning increases intracranial pressure and is done only when the patient's respiratory condition indicates it is needed. The other actions by the staff nurse are appropriate.

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 of the following clients should the nurse assess first?

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.

Which client does the nurse assess first after receiving 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.

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.

In what order should the nurse assess assigned clients following shift Report place in priority order?

Terms in this set (59) In what order should the nurse assess assigned clients following shift report? Place in priority order.

What is the priority action the nurse should take?

The priority action for the nurse in this scenario is to tell the client to breathe slowly in and out of their mouth and not to leave their sight. By breathing slowly, the nurse co...

Which event would require a nurse to complete and file an incident report?

The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone—patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required.

Which client should the emergency department triage nurse classify as emergent?

Clients with a chest stab wound and tachycardia, and with new-onset confusion and slurred speech, should be triaged as emergent.

Which of the following best defines nursing diagnoses?

According to NANDA-I, the official definition of the nursing diagnosis is: “Nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.

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 happens during nurse shift change?

Traditionally, nurses going off duty typically talk with the nurse coming on for the next shift in a hallway or at the nursing station, giving information on their patients' status and needs, according to the report. Other times nurses communicate for the next shift via a written report. 2.

Who is responsible for giving the end of shift report on the unit?

The LPN/LVN is responsible for giving end-of-shift reports. There are several types of reporting systems.