The nurse has just finished the change-of-shift report. Which client should the nurse assess second?
a. The client who needs assistance transferring from the bed to a wheelchair
b. The client with COPD who is having difficulty breathing
c. A client who is being discharged today
d. An elderly client who has requested medication for pain
A
The client needing assistance with transferring from bed to wheelchair would be seen second. Having
already assessed the client with COPD because of issues with breathing, attention would be turned to
the next priority. Because the client needs help transferring, the issue of safety must be addressed, and
it would, therefore, becomes the second priority. The client requesting pain medication is
experiencing a comfort issue which would be addressed after safety. Also, the client being discharged
is not experiencing a major health situation.
You might also like to view...
A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
a. Assess the patient's ability to read and understand. b. Determine if the patient wants to take written material home. c. Give the patient the same material as other patients get. d. Ask the patient if he/she has a need for written material.
Which of the following is not a clue that spyware has infected a computer?
1. Ability to SKYPE 2. Appearance of pop-ups 3. Random error messages 4. Poor system performance
Which patient would the nurse recognize as eligible for referral to Medicaid?
1. A military auto mechanic with severe asthma 2. A pregnant unmarried young woman employed at a discount retail store for 3 years 3. A college student on scholarship who works part time at the college library who needs medication for arthritis 4. An unemployed young mother on welfare who needs diabetic medication for one of her children
Which statement made by the client who is prescribed to use eye drops for an ocular problem indicates the need for further teaching?
A. "Squeezing my eye tightly after I put the drops in may force the drops out of my eye too quickly to allow the medicine to work properly." B. "If the drops are kept in the refrigerator, I will be able to tell when they are in my eye because they will feel cold." C. "My sister has the same prescription, so we can use the same bottle of eye drops." D. "I will wash my hands before I instill these eye drops."