What should the nurse assess before entering the patient's room on morning rounds?
a. Posted conditions, such as isolation precautions
b. Patient's input and output chart from the previous shift
c. Patient's general appearance
d. Presence of any visitors in the room
ANS: A
On the way to the patient's room, the nurse should assess the presence of conditions such as isolation precautions, latex allergies, or fall precautions.
You might also like to view...
Which classic sign of an acute myocardial infarction (AMI) can be absent when an older male adult is seen with an AMI?
a. Vague complaints b. Epigastric burning c. Crushing chest pain d. Dyspnea and fatigue
A nurse is caring for a patient who is postoperative from a neck dissection. What would be the most appropriate nursing action to enhance the patient's appetite?
A) Encourage the family to bring in the patient's favored foods. B) Limit visitors at mealtimes so that the patient is not distracted. C) Avoid offering food unless the patient initiates. D) Provide thorough oral care immediately after the patient eats.
A client has experienced an episode of ventricular tachycardia while hospitalized for a myocardial infarction
What medication may the nurse expect the client to be prescribed upon discharge that would be for the prevention of recurrent ventricular tachycardia? A. Lidocaine B. Diltiazem C. Adenosine D. Mexiletine
The nurse is completing an assessment on a client recently released from the hospital and his family. In an attempt to determine sources of social support and family stressors, the nurse should complete a(n)
A) genogram. B) ecomap. C) culturagram. D) matrix.