A new nurse is learning how to prioritize time. One of the best ways that this can be accom-plished is for the new nurse to focus on which of the following?
a. Nursing tasks
b. Patient priorities
c. Medication schedule
d. Ancillary procedures
B
Because nurses have a limited amount of time with patients, it is essential to remain goal oriented and focused on patients' priorities. For example, priorities of care help you determine which procedures you perform first, patient assessments that you will do on an ongoing basis, and the anticipated response of your patient to care activities. The better you manage yourself leads to better management of your time. Patient priorities take precedence over nursing tasks, medication schedules, and ancillary procedures.
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When admitting a trauma victim from a motor vehicle accident, the nurse should assess for liver trauma, especially if the patient presents with
A) damage of the spleen. B) fracture(s) of the right lower ribs. C) fracture(s) of the left lower ribs. D) small bowel trauma.
The fetal heart rate baseline is 140 bpm. When contractions begin, the fetal heart rate drops suddenly to 120, and rapidly returns to 140 before the end of the contraction. Which nursing intervention is best?
1. Assist the client to change from Fowler's to left lateral position. 2. Apply oxygen to the client at 2 liters per nasal cannula. 3. Notify the operating room of the need for a cesarean birth. 4. Determine the color of the leaking amniotic fluid.
The nurse is assessing a male patient with gonorrhea. Which symptom most likely prompted him to seek medical attention?
A) Rashes on the palms of the hands and soles of the feet B) Cauliflower-like warts on the penis C) Painful red papules on the shaft of the penis D) Foul-smelling discharge from the penis
The nurse is teaching a client with diabetes about exercise. Which statement by the client indicates a need for further teaching?
a. "I won't exercise if I find ketones in my urine." b. "If my blood glucose is over 200, I should not exercise." c. "Exercise will help me keep my blood glucose down." d. "My risks for heart disease can be mod-ified with exercise."