Explain why your initial observations during the admission process are important.
What will be an ideal response?
Your initial observations become an important basis for comparison for future observations during the patient's stay.
You might also like to view...
Sally is the LPN charge nurse on the Alzheimer's unit of a large, skilled nursing facility. As she is walking through the unit, through a window she sees Mrs. Grace, an 82-year-old resident, wandering on the road
Sally takes over, giving orders to other staff members to assess how she got out, checking all doors, and sending staff members outside to get Mrs. Grace and assist her back into the facility. This is an example of which type of management? a. Laissez-faire b. Democratic c. Authoritarian d. Permissive
A client with an infection has a fever. What actions by the nurse help increase the client's comfort? (Select all that apply.)
a. Administer antipyretics around the clock. b. Change the client's gown and linens when damp. c. Offer cool fluids to the client frequently. d. Place ice bags in the armpits and groin. e. Provide a fan to help cool the client.
The nurse is caring for a client who has an order for Lofstrand crutches to assist with mobility. The client asks what the crutch looks like. Which description of the crutch by the nurse is the most accurate?
1. It rests just under the axilla with a hand bar. 2. It has a cuff for the upper arm. 3. It extends to the forearm and has a metal cuff around the forearm to stabilize the wrist. 4. It has a rubber tip to prevent slippage on a floor surface.
The nurse is providing care to a client receiving clozapine (Clozaril). The nurse would be alert for an increased risk of bone marrow suppression if the client is also receiving which of the following? Select all that apply
A) Immunological agents B) Anticholinergics C) Opioids D) Anticoagulants