A patient who had recent abdominal surgery is becoming increasingly agitated and confused. He has pulled out his IV and his nasogastric tube. His skin is pale and clammy, heart rate 120 bpm, BP 130/60. The physician has been called. What nursing action is
a. Gather needed supplies and assign the aide to remain with the patient.
b. Stay with the patient and have another nurse obtain needed supplies.
c. Administer pain medication and then recheck vital signs.
d. Assign the aide to retake vital signs every 15 minutes.
Question 2
It is 0800 and the nurse just received report. Which patient situation demands the nurse's immediate attention? The patient
a. with a blood glucose of 200.
b. who needs a 0800 vancomycin level drawn.
c. receiving a blood transfusion who reports slight itching and chills.
d. with a serum potassium level of 4.3 mEq/dL who is receiving digoxin.
Patient teaching: nail assessment
Patient teaching: vascular assessment
Example of a patient’s ledger in practice management software.
Reputable Websites for Patient Education
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).