After receiving shift report, which of the following clients should the nurse assess first?
A. Kussmaul respirations
B. Blood glucose of 144
C. Pain level 6 out of 10
D. Temperature is 101.8°F
Answer: A
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A patient with portal hypertension has been admitted to the medical floor. What will the nurse assess for related to portal hypertension?
A) Bowel obstruction B) Vitamin A deficiency C) Ascites D) Hepatic encephalopathy
Which set of topics makes up a hand-off report given in a recommended format?
1) Data-action-response 2) Subjective-objective-assessment-plan 3) Situation-background-assessment-recommendation 4) Patient-diagnosis-medications-activity
The court is establishing liability in a case in which several actions caused the plaintiff's injury. Which test of causation would be most useful in this case?
1. Proximal cause test 2. But-for test 3. Substantial factor test 4. Fact-of-cause
A nurse is conducting a prenatal nutritional education class for a group of nursing students. Which should the nurse include as the definition of pica?
a. Iron deficiency anemia b. Intolerance to milk products c. Ingestion of nonfood substances d. Episodes of anorexia and vomiting