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.
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