Explain what information the nursing assistant must communicate to other members of the health care team about the patient.
What will be an ideal response?
The nursing assistant must both send and receive messages. Information about observations and care of the patient must be communicated. Interactions with patients and visitors are also communicated. If the patient verbalizes her feelings to you, this information should be conveyed to the appropriate person.
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The patient is admitted with diabetic ketoacidosis. The nurse would expect to find respiratory compensation through the following assessment:
1. Rapid respiratory rate. 2. Diminished lung sounds. 3. A dry cough. 4. Wet lung sounds; rhonchi.
In 2004, the Joint Commission on Accreditation of Healthcare Organizations issued a list of "Do Not Use" abbreviations. Which abbreviation is prohibited in all documentation?
A) HHN B) MDI C) OU D) SL
When making introductions, the nurse should address the client by his or her surname
Indicate whether the statement is true or false
You are caring for a woman in labor. Your assessment of the fetal heart rate reveals a heart rate of 145 with moderate variability. There are no signs of decelerations or accelerations. What is your priority action?
a. Do nothing, since this is normal. b. Contact the physician immediately. c. Begin oxygen at 8 to 10 liters/minute. d. Change the maternal position immediately.