I understand that exams in this course are closed-note, with…

I understand that exams in this course are closed-note, with the exception of being able to use our course Canvas resources as a reference, including my submitted study guides and our class species profiles. In this case, Canvas must be accessed from my exam browser, because secondary devices are prohibited in my testing area. Other than our Canvas resources, exams must be taken independently by me without the use of any aids. I agree to follow this policy because academic integrity is important and adds value to my education.

During shift report on a medical-surgical unit, the nurse re…

During shift report on a medical-surgical unit, the nurse receives the following updates: Patient A: A 70-year-old recovering from a hip replacement who reports mild dizziness when standing, ambulating with a walker. Vital signs: BP 128/76 mmHg, HR 82 bpm, RR 18, Temp 98.4°F, SpO₂ 96% on room air. Patient B: A 60-year-old with chronic heart failure who is slightly short of breath while talking, has mild ankle edema. Vital signs: BP 110/68 mmHg, HR 96 bpm, RR 22, Temp 98.8°F, SpO₂ 94% on room air. Patient C: A 45-year-old post-operative patient from abdominal surgery who is reporting incisional pain rated 7/10 and requesting pain medication. Vital signs: BP 122/78 mmHg, HR 88 bpm, RR 20, Temp 99.0°F, SpO₂ 97% on room air. Patient D: A 55-year-old patient with diabetes who is due for routine blood glucose monitoring. Vital signs: BP 130/80 mmHg, HR 84 bpm, RR 18, Temp 98.6°F, SpO₂ 98% on room air. Which patient should the nurse assess first?

A 68-year-old patient is admitted with the following finding…

A 68-year-old patient is admitted with the following findings: blood pressure 88/54 mmHg, heart rate 128 beats/min, respiratory rate 28 breaths/min, temperature 100.8°F (38.2°C), and oxygen saturation 89% on room air. Based on priority assessment principles, which action should the nurse perform first?