Author Question: Which of the following patients should the nurse see first after the shift report? a. A patient ... (Read 44 times)

Marty · **on:** Jul 8, 2018

Which of the following patients should the nurse see first after the shift report?

a. A patient with a change in heart rhythm who is complaining of lightheadedness
b. A patient with a newly placed pacemaker who is complaining of shoulder pain
c. A patient in heart failure on afterload re-ducers with a blood pressure 96/60 mm Hg
d. A patient in first-degree heart block

Question 2

The nurse and UAP are working together with four patients. Which patient should the nurse as-sign the UAP?

a. A patient waiting for discharge instruc-tions before going home
b. A patient who received morphine 20 minutes ago and now has the call light on
c. A patient with diabetes who needs her blood glucose checked
d. A patient returning from a bronchoscopy

pratush dev · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
The patient has complained of lightheadedness and his cardiac monitor shows an increase in heart rate. A change in heart rhythm requires a nursing assessment. Options B and C are incorrect be-cause the complaint is predictable and is not a priority. Option D is incorrect because the patient is stable and is not a priority.

Answer to Question 2

ANS: C
It is within the UAP's scope of practice to check blood glucose levels on a diabetic patient. Op-tions A and B are incorrect because this patient requires assessment and therefore cannot be del-egated to the UAP until stability is assessed. Option D is incorrect because this patient requires assessment and therefore cannot be delegated to the UAP until stability is assessed.