The nurse coming on duty receives the report from the nurse going off duty. Which of the following clients should the on-duty nurse assess first?
A. The 58-year-old client who was admitted 2 days ago with heart failure, BP of 126/76, and a respiratory rate of 21 breaths a minute.
B. The 88-year-old client with end-stage right-sided heart failure, BP of 78/50, and a DNR order.
C. The 62-year-old client who was admitted one day ago with thrombophlebitis and receiving IV heparin.
D. A 76-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving IV diltiazem (Cardizem).
Ans: D. A 76-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving IV diltiazem (Cardizem).
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The nurse working in an obstetrician's office receives a call from a pregnant client who is at 36 weeks' gestation. The nurse regards which of the following symptoms as indicating a need for the client to be seen by the physician?
1. Constipation 2. Flatulence 3. Facial edema 4. Mild dyspnea
Which of the following statements describe accurate information about family-focused communication? A nurse's communication with a family:
1. Usually focuses on the individual family member with an illness. 2. Usually begins with a nurse sharing personal information. 3. Aims to develop a caring relationship that sees the individual and family as the unit of care. 4. Most often requires a nurse to determine the direction for family-focused communication.
The five steps of the nursing process parallel the steps of scientific problem-solving. In the steps in scientific problem-solving, the nurse identifies the client's problem
Based on this information which related step is this in the nursing process? A) Nursing assessment B) Nursing diagnosis C) Planning D) Implementation
A 65-year-old client is admitted to the oncology unit with a new-onset lung mass. A nurse understands that the client likely has which of the following?
A) Carcinoma B) Sarcoma C) Lymphoma D) Adenoma