It is the beginning of the shift and the nurse has just received reports on four clients. Which client is it most important for the nurse to visit first?
1. Client with a chest tube complaining of difficulty breathing
2. Client with a tracheostomy who is on oxygen via trach mask
3. Client preparing for discharge following a lengthy hospital stay for ARDS
4. Client complaining of incisional pain
Client with a chest tube complaining of difficulty breathing.
Rationale: The nurse first will want to check on the client with a chest tube who is complaining of difficulty breathing, as many potential complications will need to be evaluated. The client complaining of incisional pain will need to be assessed for pain medication following the first client. Then the client with a tracheostomy who is having no problems will need to be assessed, followed by the client preparing for discharge.
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The nurse is caring for a patient receiving benzodiazepine intermittently. The nurse understands that the best way to administer such drugs is to:
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The father of a newborn has sickle cell anemia and the mother of a newborn is a carrier for sickle cell disease. There is a ____________________% chance that the child conceived will have the disease
Fill in the blank(s) with correct word
When applying restraints to a patient in a chair, the hips should be near the ____________________ of the seat.
Fill in the blank(s) with the appropriate word(s).
In order to provide for the psychosocial needs of an immobilized client, which of the following statements made by the nurse would be appropriate?
a. "The staff will limit your visitors so that you will not be bothered." b. "A roommate can be a real bother. You'd probably rather have a private room." c. "Let's discuss your care to see if there are any changes we can make." d. "I think you should have your hair done and put on some makeup."