The nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing the patient, which of the following observations takes immediate priority?
A) Oral temperature of 100°F
B) Tachypnea and restlessness
C) Frequent loose stools
D) Weight loss of 1 pound since yesterday
B
You might also like to view...
A nurse has assessed that a patient's condition is worsening. The nurse is telephoning the primary care provider and providing an SBAR report about the patient and her condition
What would be important for the nurse to document? (Select all that apply.) A) The time B) Information from the previous shift C) The information received D) Specialists to whom the patient is referred E) The name of the provider
Each state, U.S. territory, and the District of Columbia must have a quality improvement organization (QIO) contracted with CMS to provide support and oversight to LTC facilities
Which of the following are functions of quality improvement organizations? Select all answers that apply. A) Staff development B) Monitoring techniques and intervention strategies C) Quality improvement for facility manager D) Training nonlicensed personnel E) Informing clients of their rights F) Providing advance degree nursing courses
The nurse was very pleased. A health screening had been held, and 22 persons were found to test positive. The nurse reported the number and names to the director. However, what is even more important than reporting the names?
A. Be sure each client had identification so no false names could be used. B. Keep legal documentation of both negative and positive results. C. Tell those who tested positive where they might go for treatment. D. Use the cheapest testing approach possible.
What are the seven warning signs of cancer?
What will be an ideal response?