37.After receiving change-of-shift report, which patient should the nurse assessfirst?a.Patient who is scheduled for the drain phase of a peritoneal dialysis exchangeb.Patient with stage 4 chronic kidney disease who has an elevated phosphate levelc.Patient with stage 5 chronic kidney disease who has a potassium level of 3.4 mEq/Ld.Patient who has just returned from having hemodialysis and has a heart rate of 124/minANS: DThe patient who is tachycardic after hemodialysis may be bleeding or excessively hypovolemic andshould be assessed immediately for these complications. The other patients also need assessments or in-terventions but are not at risk for life-threatening complications. Show DIF: Cognitive Level: Analyze (analysis) REF: 1129OBJ: Special Questions: Prioritization; Multiple PatientsTOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care EnvironmentMULTIPLE RESPONSE1.Which information will be included when the nurse is teaching self-management to a patient who is Which patient should the nurse assess first after receiving change of shift report?The nurse has received the shift report. Which client should the nurse assess first? Assess the client for abnormal bleeding.
Which patient should the nurse assess first?Begin first with the patient who has the highest priority and progress to the patient who has the lowest priority. A nurse is performing a complete physical assessment of an adolescent.
Which client should you assess first?Which patient should you assess first? The nurse plans care for a client in the post anesthesia care unit. The nurse should assess first the client's: a) respiratory status.
Which of the following should be included in the change of shift report?Change-of-Shift Report Should: Include significant objective information about the client's health problems. Proceed in a logical sequence. Include no gossip or personal opinion.
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After receiving a change-of-shift report, which patient should the nurse assess first Quizlet
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