After change-of-shift report, which patient should the progressive care nurse assess first?
The following four patients arrive in the emergency departme…
The following four patients arrive in the emergency department (ED) after a motor vehicle collision. In which order should the nurse assess them? a. A 74-yr-old patient with palpitations and chest painb. A 43-yr-old patient complaining of 7/10 abdominal painc. A 21-yr-old patient with multiple fractures of the face and jawd. A 37-yr-old patient with a misaligned lower left leg with intact pulses
A patient has had a stroke and the wife asks why he has a na…
A patient has had a stroke and the wife asks why he has a nasal airway in place. The nurse explains the rationale for the nasal airway to the wife. Select all that apply.
When evaluating a patient with a central venous catheter, th…
When evaluating a patient with a central venous catheter, the nurse observes that the insertion site is red and tender to touch and the patient’s temperature is 101.8° F. What should the nurse plan to do? Select all that apply.
A nurse is the first responder to the site of a disaster in…
A nurse is the first responder to the site of a disaster in which several people were injured in a plane crash. The nurse will attend to which victim first?
The patient in the intensive care unit is on a ventilator. W…
The patient in the intensive care unit is on a ventilator. Which interventions should the nurse implement? Select all that apply.
The nurse conducts an interview and is collecting data rega…
The nurse conducts an interview and is collecting data regarding the client’s health history. What statements are appropriate for the nurse to document? Select all that apply.
The nurse is caring for a 67-yr-old male with history of a…
The nurse is caring for a 67-yr-old male with history of alcohol use disorder and cirrhosis admitted to the medical-surgical unit. From the list of choices, choose the 1 condition that the client is most likely experiencing.
The primary nurse has instructed the unlicensed assistive pe…
The primary nurse has instructed the unlicensed assistive personnel (UAP) to assist a patient to the bathroom for a shower on a telemetry unit. Which action by the UAP warrants intervention by the nurse?
While changing the ties on an established tracheostomy tube,…
While changing the ties on an established tracheostomy tube, the client coughs and the tube is fully dislodged. Which nursing action will the experienced nurse do first?