After receiving change-of-shift report, which patient should the nurse assess first?

a. Patient who is scheduled for the drain phase of a peritoneal dialysis exchange
b. Patient with stage 4 chronic kidney disease who has an elevated phosphate level
c. Patient with stage 5 chronic kidney disease who has a potassium level of 3.4 mEq/L
d. Patient who has just returned from having hemodialysis and has a heart rate of 124/min


ANS: D
The patient who is tachycardic after hemodialysis may be bleeding or excessively hypovolemic and should be assessed immediately for these complications. The other patients also need assessments or interventions but are not at risk for life-threatening complications.

Nursing

You might also like to view...

A woman in preterm labor has developed depressed deep tendon reflexes. Which medication will be administered?

A) Potassium chloride B) Epinephrine C) Hemabate D) Calcium gluconate

Nursing

Which of the following should the nurse instruct an elderly client diagnosed with chronic venous insufficiency?

1. Keep the legs dependent as much as possible and elevate only when asleep 2. Standing will prevent the progression of the disease 3. Cross legs only at the knees 4. Wear elastic hose as prescribed

Nursing

Waterless shampoo is contraindicated in bedfast patients.

Answer the following statement true (T) or false (F)

Nursing

The nurse is researching the genetic link to sexual dysfunction and sexual disorders. Which sexual dysfunction syndromes or disorders does the nurse identify are directly related to chromosomal inheritance? (Select all that apply.)

1. Turner syndrome 2. Gender dysphoria 3. Kleinfelter syndrome 4. Paraphilic disorder 5. Intersex condition

Nursing