The nurse has just received change-of-shift report about the following four patients which patient will 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 needs to be medicated with multiple analgesics before a scheduled dressing change
d) The patient who has been receiving immunosuppressants medications and has a temp of 102' F


Ans: d) The patient who has been receiving immunosuppressants medications and has a temp of 102' F

Nursing

You might also like to view...

The client was recently admitted to the hospital with left lower quadrant pain. The client states, "It feels like my belly is cramping." During the focused interview, the client admitted to experiencing a significant amount of occupational stress

Guarding is noted during the abdominal examination. The nurse reviews the medical record (see chart below) and concludes that the client has developed a diverticulitis. Which client statement supports this conclusion by the nurse? Assessment or diagnostic test Results White blood cell count 25,000/mm3 Red blood cell count 4.2 x 1012/L Temperature 101.2 degrees Fahrenheit Blood pressure 152/84 1. "I get home so late at night, but I've got to stop lying down right after dinner." 2. "I drink a whole pot of coffee every day." 3. "I drink 9-12 beers after I get home from work, every day." 4. "We have been growing green beans in our garden and I think I ate too many the other day."

Nursing

Her sclerae are white. To which area should your next questions be related?

A mother brings her 11 month old to you because her mother-in-law and others have told her that her baby is jaundiced. She is eating and growing well and performing the developmental milestones she should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. A) Diet B) Family history of liver diseases C) Family history of blood diseases D) Ethnicity of the child

Nursing

A parent brings a 15-month-old child in for an MMR vaccination. The child has otitis media and a temperature of 104° F. How should the nurse advise the parent?

a. "The vaccine should not be given until the illness has resolved." b. "The vaccine can be given safely at any time." c. "As long as the child is taking antibiotics, the vaccine can be given now." d. "This child may take the vaccine, but monitor the temperature every 2 hours."

Nursing

George Stephanene has an intense flu and his wife has come to pick up his prescription for Lomotil to stop the diarrhea. You hand her the generic ____________ , which is a Schedule ____ drug.

a. atrophine/diphenoxylate, V b. chlonazepam, IV c. phenobarbital, IV d. lacosamide, V

Nursing