After receiving morning report, which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
a. A patient who needs discharge teaching
b. A patient who needs assistance to ambulate
c. A patient who states, "No one cares about me."
d. A patient who has a temperature of 106°F (41.1°C)
ANS: D
D. According to Maslow, humans' basic physiological needs have the highest priority, and these patients' health problems should be addressed first. Life-threatening needs are ranked first; health-threatening needs are second; and health-promoting needs are last. The elevated temperature has the greatest urgency. A, B, and C are not as high priority.
You might also like to view...
The nurse is providing education to a cardiac patient who has multiple life stressors that are impacting the patient's health
Which of the following statements by the patient indicate he has a good understanding of actions he can take to reduce his stressors? (Select all that apply.) a. "I should change my job." b. "I should plan some downtime." c. "I should meet with a financial counselor." d. "I should talk with my family about my situation." e. "I should make my family go to counseling with me."
The cognitive developmental approach to caring for patients with dementia adapts interventions based on the patient's:
1. cognitive abilities. 2. physical abilities. 3. emotional abilities. 4. self-care abilities.
A client with HIV has been started on AZT as part of the pharmacotherapeutic regimen. What is appropriate for the nurse to teach the client who is on this medication?
Standard Text: Select all that apply. 1. The appropriate use of condoms with sexual activity 2. The importance of taking St. John's wort in conjunction with AZT 3. The need to notify the health care provider if pregnancy occurs 4. That breast-feeding is safe when taking this medication 5. Not to discontinue the medication without notifying the health care provider
A client with paranoid schizophrenia tells the nurse "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as
A. a neologism. B. clang association. C. blocking. D. a delusion.