After receiving a change-of-shift report, which patient should the nurse assess first?
a. The patient who has multiple black wounds on the feet and ankles
b. The newly admitted patient with a stage IV pressure ulcer on the coccyx
c. The patient who has been receiving chemotherapy and has a temperature of 102° F
d. The patient who needs to be medicated with multiple analgesics before a scheduled dressing change
ANS: C
Chemotherapy is an immunosuppressant. Even a low fever in an immunosuppressed patient is a sign of serious infection and should be treated immediately with cultures and rapid initiation of antibiotic therapy. The nurse should assess the other patients as soon as possible after assessing and implementing appropriate care for the immunosuppressed patient.
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A hospitalized client is complaining of abdominal pain that has developed since admission. The nurse says, "I am going to call the hospitalist." How should the client interpret this statement?
1. The nurse is going to call the medical intern to assess the client. 2. The nurse is going to call the client's physician's on-call group. 3. The nurse is going to call a physician who cares for inpatients. 4. The nurse is going to call the emergency department and request that a physician see this client.
What actions would the nurse take when communicating with a patient of Asian heritage?
A. Nonverbal and contextual cueing should be understood and expected. B. Conversation should be initiated whenever one is with the patient. C. Silence indicates a negative reaction to the person giving care. D. Questions should be phrased to be answered as yes or no.
A student nurse is learning about nursing theorists. Based on this learning, the student nurse writes a care plan focused on providing culturally diverse care. The student nurse is adopting the approach of nursing theorist
1. Myra Levine. 2. Dorothea Orem. 3. Sister Callista Roy. 4. Madeleine M. Leininger.
When using a mechanical lift to move a patient, the leg spreader should be
A) opened wide. B) closed completely. C) adjusted for patient comfort. D) at a 45 degree angle.