Which patient should be considered the highest priority by the charge nurse?
a. A patient who is complaining that no one answers his call light
b. A patient who is threatening to leave AMA with tubes and drains in place from a surgical procedure
c. A confused patient who is attempting to get out of bed
d. A patient who is asking for help to the bathroom
ANS: B
This patient should be helped to decide against leaving the hospital until he is more stable. The other options are not a priority.
You might also like to view...
The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device
The inappropriate intervention related to caring for a patient with a PCA is: a. Maintaining the system. b. Recording activations of the system. c. Administering the analgesia to the patient. d. Monitoring the patient's pain.
The son of an older adult client with obsessive-compulsive disorder states to the nurse, "I want to contact the fire department about the situation; the house is nothing but boxes and bags of saved items."
Which is the most appropriate nursing diagnosis for this situation? A) Ineffective Coping B) Deficient Knowledge C) Risk for Caregiver Role Strain D) Anxiety
These statements are about colostomies. Which is correct?
a. The person completes a bowel training program to learn how to defecate again. b. Stool consistency should always look the same. c. The more colon remaining, the more liquid the stool. d. Good skin care is necessary because feces irritate the skin.
The nurse is preparing to administer cyclophosphamide (Cytoxan), which can cause nausea and vomiting. The nurse can best manage this by:
1. giving the client bland foods during treatment. 2. administering antiemetic drugs as necessary. 3. withholding food during administration. 4. increasing fluids during administration.