while receiving a shift report on a patient, the nurse

Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient. Nursing report is usually given in a location where other people can not hear due to patient privacy.

Full Answer

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.

What happens if you position a nurse on the left side?

Positioning on the left side may cause a further decrease in oxygen saturation because perfusion will be directed more toward the more poorly ventilated lung. A nurse is caring for an obese patient with right lower lobe pneumonia. Which position will be best to improve gas exchange?

Can a nurse give report outside of a patient's room?

If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended. SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.

What are the SBAR questions to ask a reporting nurse?

Although a SBAR is a great tool, the oncoming nurse should still ask the reporting nurse important questions regarding the patients status that may not be included in the SBAR. Does that patient have any family?

What should a nurse do first to determine the cause of oliguria?

The nurse first should gather all assessment data to determine the potential cause of oliguria. It could be that the patient does not have adequate intake, or it could be that the bladder sphincter is not functioning and the patient is retaining water.

What should a nurse do before a procedure?

ANS: D. Before the procedure is begun, the nurse should assess the patient for food and other allergies and should administer an antihistamine, because a contrast iodine-based dye is used for the procedure.

Why do you need to inflate a balloon in a hospital?

A catheter should be inserted in the hospital setting using sterile technique. Inflating the balloon fully prevents dislodgement and trauma, not infection. Disconnecting the drainage bag from the catheter creates a break in the system and an open portal of entry and increases risk of infection. 35.

Why is it important to get a nursing report before you start your shift?

It is not only important for the nurse but for the patient as well. Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient.

Why do nurses give reports outside of the room?

If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended.

What does SBAR stand for in nursing?

SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.

What do nurses do during shifts?

1.nurse will monitor changes in temperature and laboratory values during the shift. 2.patient will state some signs and symptoms of wound infection before discharge. 3.nurse will teach aseptic techniques to the patient before discharge. 4.patient will not develop a wound infection before discharge.

Can a patient with a right AK amputation look at the operative site?

After recovering from anesthesia, the patient with a right AK (above the knee) amputation refuses to look at the operative site. The most appropriate nursing diagnosis for this patient is:

What does a decrease in respiratory rate in a patient with respiratory distress suggest?

ANS: C. A decrease in respiratory rate in a patient with respiratory distress suggests the onset of fatigue and a high risk for respiratory arrest. Therefore immediate action such as positive pressure ventilation is needed.

How long after heart surgery does dyspnea occur?

A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure, the nurse will plan to assist with. a.

Does a mini tracheostomy improve respiratory rate?

Insertion of a mini-tracheostomy will facilitate removal of secretions, but it will not improve the patient's respiratory rate or oxygenation. CPAP requires that the patient initiate an adequate respiratory rate to allow adequate gas exchange.

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 .