After change-of-shift report on the Alzheimer's disease/dementia unit, which patient will the nurse assess first?
a. Patient who has not had a bowel movement for 5 days
b. Patient who has a stage II pressure ulcer on the coccyx
c. Patient who is refusing to take the prescribed medications
d. Patient who developed a new cough after eating breakfast
ANS: D
A new cough after a meal in a patient with dementia suggests possible aspiration and the patient should be assessed immediately. The other patients also require assessment and intervention, but not as urgently as a patient with possible aspiration or pneumonia.
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The nurse is assessing a client's respiratory status. Indicators of normal respiratory status include:(Select all that apply) Standard Text: Select all that apply
1. Eupnea 2. Use of external intercostal muscles 3. Suprasternal retraction 4. Orthopnea 5. Apnea
Which of the following situations represents a violation of a Patient's Bill of Rights?
A) The baby in the nursery struggles and cries while the nurse obtains a heel stick blood collection. B) The nurse leaves the client's chart open on the bedside table in the room when the nurse is called to another client's room. C) The nurse discusses the client's treatment with the social worker, therapist, and chaplain as part of the collaborative team. D) The client is placed in a ward-style room with three other postpartum women where the only privacy is provided by curtains that can enclose three sides of the bed.
Describe the nursing management of a patient with hepatic encephalopathy
What will be an ideal response?
When administering medications to pediatric patients, you must first determine if a medication dose is within the ________.
Fill in the blank(s) with the appropriate word(s).