Which patients on an orthopedic unit should be assigned to a nurse from a cardiac unit?
a. A patient being transferred to an ECF for rehabilitation following a hip replace-ment
b. A patient following a hip replacement with a history of an acute MI 4 weeks ago
c. A patient with an external fixator
d. A patient to be started on a PCA pump requiring instructions
B
Feedback
A This assignment is not appropriate given this nurse's background and know-ledge.
B With the RN's knowledge and background for caring for cardiac patients, it is most appropriate to assign her to this patient because of the potential for cardiac issues to arise postoperatively.
C This assignment is not appropriate given this nurse's background and know-ledge.
D This assignment is not appropriate given this nurse's background and know-ledge.
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You chart the following: (Problem) #1 pain related to surgical incision (Progress Note) S = States discomfort in L hip; O = Grimaces with movement to L side Requests pain med q3 hours;
A = No change; P = Continue pain meds prn This is an example of which type of charting? 1. DAR (Data, Action, Response) 2. SOAP (Subjective, Objective, Assessment, Plan) 3. APIE (Assessment, Problem Identification, Interventions, Evaluation) 4. charting by exception
An 8-month-old infant who cries when the parents leave the room has developed the concept of
A) circular reactions. B) permanence. C) reversibility. D) assimilation.
Patient privacy and comfort during the physical assessment are affected by all the following except:
A) The type of gown and drapes provided for the patient to wear. B) The lighting, heat, and equipment used for the exam. C) The patient observing you wash your hands. D) The carpet and furniture in the waiting room.
The client is to receive an injection of penicillin G benzathine (Bicillin LA) in the outpatient clinic. What is a priority nursing action by the nurse prior to administering this injection?
1. Have the client lie down and assess vital signs before she leaves. 2. Ask the client if she has ever had an allergy to penicillin before. 3. Inform the client that she will need to wait 30 minutes before leaving the clinic. 4. Inform the client that she must have someone drive her home. 5. Advise the client to rest for the remainder of the day.