A nurse who works on the neurology unit just received change-of-shift report. Which patient will the nurse assess first?
a. Patient with botulism who is experiencing difficulty swallowing
b. Patient with Bell's palsy who has herpes vesicles in front of the ear
c. Patient with neurosyphilis who has tabes dorsalis and decreased deep tendon reflexes
d. Patient with an abscess caused by injectable drug use who needs tetanus immune globulin
ANS: A
The patient's diagnosis and difficulty swallowing indicate that the nurse should rapidly assess for respiratory distress. The information about the other patients is consistent with their diagnoses and does not indicate any immediate need for assessment or intervention.
You might also like to view...
You are an occupational health nurse who is presenting a workshop on laryngeal cancer. What risk factors would you be sure to include in your workshop? Select all that apply
A) Alcohol B) Age C) Tobacco D) Industrial pollutants E) Region of country you live in
When administering a 5 mL dose for injection, you would divide it by drawing up
A. 3 mL in one and 2 mL in another syringe. B. 2.5 mL in each syringe. C. 1.5 in one and 3.5 in another. D. 4 mL in one and 1 mL in the other.
The type of decision making where a manager makes a decision without any input from others in the organization, and then implements the decision, is called __________
a. participatory decision making b. consultative decision making c. collaborative decision making d. autocratic decision making
Patients with peripheral vascular disease are at risk for all of the following except
A. gangrene. B. ulceration. C. calluses. D. amputation.