Which of the following clients should the nurse assess first after receiving the shift report?

Which of the following clients should the nurse assess first after receiving the shift report?

Leadership

Form B

1. A nurse is assessing a client who had a recent stroke. Which of the following findings should

indicate to the nurse the need for referral to an occupational therapist?

a.Facial drooping

b.Receptive aphasia

c.Unilateral neglect

d.Memory loss

2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP).

Which of the following is an appropriate task for the AP?

a.Show a new mother how to change the newborn’s diaper

b.Inspect the skin of a newborn who is receiving phototherapy

c.Obtain the weight of a newborn who is receiving formula

d.Answer the parents’ questions about newborn circumcision

3. A charge nurse is planning the care of four newborns. An assistive personnel and licensed

practical nurse are available for staffing. Which of the following tasks should the nurse assign to

a licensed practical nurse?

a.Conduct the newborn hearing screening

b.Perform a New Ballard screening

c.Administer a hepatitis B vaccine

d.Obtain vital signs

4. A nurse is completing discharge teaching with a client who is being treated for tuberculosis

(TB). Which of the following statements by the client indicates an understanding of the

teaching?

a.I need to have a TB skin test done once per year

b.I need to take my prescribed medication for 3 months

c.I should have a sputum culture done every 2 to 4 weeks

d.I should wear a mask while around my family

5. A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have

sufficient experience to safely care for his assigned clients. Which of the following actions

should the nurse take?

a.Accept the assignment with help from assistive personnel on the unit

b.Document the concern in the nurse’s notes

19. The nurse on the cardiac unit has received the shift report from the outgoing nurse. Whichclient should the nurse assess first?

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20.The nurse on the cardiac unit is preparing to administer medications after receiving themorning change-of-shift report. Which medication should the nurse administer first?

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21. Which client should the telemetry nurse assess first after receiving the a.m. shift report?

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22.The charge nurse is making assignments for clients on a cardiac unit. Which client shouldthe charge nurse assign to a new graduate nurse?A.The 44-year-old client diagnosed with a myocardial infarction.B.The 65-year-old client admitted with unstable angina.C.The 75-year-old client scheduled for a cardiac catheterization.D.The 50-year-old client complaining of chest pain.

23.The charge nurse is making assignments for a 30-bed cardiac unit staffed with threeregistered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensedassistive personnel (UAPs). Which assignment is most appropriate by the charge nurse?

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Which client should the postpartum nurse assess first after receiving the AM shift report?

Which client should the postpartum nurse assess first after receiving the a.m. shift report? 1. The client who is complaining of perineal pain when urinating.

What client should the nurse assess first?

Which client should the nurse assess first? The nurse should first assess the client showing symptoms of a deep venous thrombosis (DVT) (eg, unilateral edema , warmth, redness , tenderness on palpation).

What information needs to be immediately reported to a nurse?

Examples are bleeding, pain, or injury. Restraints (ordered by a doctor) require reporting to the nurse. Other circumstances that require immediate reporting: skin changes, falls, patient complaints, difficult behavior, suicidal or dangerous behavior, and discovery of alcohol or drugs.

Which client should the charge nurse assign to the room closest to the nurse's station?

Which client should the charge nurse assign to the room closest to the nurses' station? The client with dementia and gastroenteritis presents the greatest safety risk, which includes potential for falls and fluid and electrolyte imbalance.