The nurse performs the first assessment upon arrival. Quickly memorize the terms, phrases and much more.

The nurse performs the first assessment upon arrival Oct 1, 2021 · The nurse prepares to complete the client's admission assessment after Mr. First12 Hrs 1 2cm above umbilicus Jan 2, 2025 · , The nurse performs the first assessment upon arrival to the postpartum unit. Which intervention is most important for the charge nurse to verify as completed within the first hour? Study Flashcards On Postoperative Care (Med-Surg I) at Cram. Study with Quizlet and memorize flashcards containing terms like Meet the Client, To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? a. Which technique would be used for this assessment? Which pupil comparison would the nurse perform when completing a neurologic assessment of the eyes in a patient admitted with encephalitis? Select all that apply. Winchell upon arrival on the unit continues. Her vital signs are - temperature 98° F, blood pressure 96/58, pulse 92, and respirations 22. Study with Quizlet and memorize flashcards containing terms like To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first?, Pt. D) Chest excursion. We have an expert-written solution to this problem! Study with Quizlet and memorize flashcards containing terms like For both outpatients and inpatients scheduled for diagnostic procedures of the cardiovascular system, the nurse performs a thorough initial assessment to establish accurate baseline data. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a newborn after the parents have spent time bonding. Susan fundus remains firm and lochia flow has decreased to a small amount.  Assess the extremities. Where would the nurse expect to palpate the fundus? The nurse performs the first assessment upon the client's arrival to the postpartum unit. Ms Black has been placed in her hospital bed upon arrival to the medical-surgical unit. Where would the nurse expect to palpate the fundus? Client has been placed in her hospital bed upon arrival to the medical-surgical unit. B. c. Upon arrival, you see the staff performing CPR on the female. To the right of the umbilicus. continue to monitor the patient because this is a Study with Quizlet and memorize flashcards containing terms like An emergency department nurse is told that a client with carbon monoxide poisoning resulting from a suicide attempt is being brought to the hospital by emergency medical services. Where would the nurse expect to palpate the fundus?. The assessment reveals bilateral swollen knees and elbows, malaise, poor appetite, and poor growth and asymmetrical leg bone growth. Where would the nurse expect to palpate the fundus? The nurse identifies that a priority nursing diagnosis for Cora is "Injury risk for peripheral neurovascular compromise. The nurse should immediately assess the pull of the traction on the pins. For the first 12 hours, the fundus should be 1 to 2 cm above the umbilicus. A practical nurse (PN) inserts an intravenous catheter and collects blood samples. - ANSWERSB) Oxygen Analyze Cues: The nurse performs the first assessment upon the client's arrival to the postpartum unit. Among the possible concerning findings, an assessment that reveals compromised airway or breathing issues prompts immediate notification of the health care provider. What is the nurse's most appropriate action? Ensure that the scale is correctly calibrated and repeat the assessment. Feb 23, 2024 · The nurse measures the client's vital signs. As the nurse performs the assessment and evidence-based care, which eye care will the nurse prioritize? Instill 0. The surgical dressing was dry and intact upon arrival to the postoperative unit, but now it is saturated with fresh blood. Study with Quizlet and memorize flashcards containing terms like 1. Where would the nurse expect to palpate the fundus? a) Below the umbilicus b) At the level of the umbilicus c) Above the umbilicus d) In the right lower quadrant Asked by scott8678 • 03/29/2024 Community by Students Brainly verified by Experts ChatGPT by Sep 24, 2020 · Question 4 of 25 The nurse performs the first assessment upon arrival to the postpartum unit. A registered nurse (RN) performs and documents a comprehensive assessment. The unlicensed assistive Upon arrival in the post anesthesia care unit (PACU), the nurse performs the initial assessment of a client who had surgery under general anesthesia. 1 cm above the umbilicus. Following surgery, the client is transferred to the orthopedic nursing unit where she will be in skeletal traction for several weeks. Which intervention is most important for the charge nurse to verify as completed for her within the first hour? a. His respiratory The initial assessment of Mr. Perform hourly assessment of Cora's level of consciousness. Apr 4, 2018 · The nurse performs the first assessment upon arrival to the postpartum unit. Where would the nurse expect to palpate the fundus? 1. A practical nurse (PN) inserts an intravenous Mar 11, 2024 · Upon arrival in the post-anesthesia care unit (PACU), the nurse performs the initial assessment of a client who had surgery under general anesthesia. A nurse is preparing to administer erythromycin ointment to a 1-hour-old newborn. You find Marie's sheets saturated in vaginal discharge of blood. To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? a. Which intervention is most important for the charge nurse to verify as completed for her within the first hour? A practical nurse (PN) does a comprehensive assessment and measures vital signs. We have an expert-written solution to this problem! The nurse performs the first assessment upon the client's arrival to the postpartum unit. Initiate hourly assessment of Cora's foot distal to the fracture site. Where would the nurse expect to palpate the fundus? a) 3 cm above the Mar 19, 2024 · The nurse performs the first assessment upon the client's arrival to the postpartum unit. A 70-kg postoperative patient has an average urine output of 25 mL/hr during the first 8 hours. Which actions should the nurse take first? Reinforce the dressing with more bandages until the bleeding stops. Jackson's respiratory rate is 32 breaths per minute. a. The labor and delivery nurse reported that the client had a 4th degree Feb 20, 2023 · The nurse is caring for a newborn after the parents have spent time bonding. According to the nursing process, how frequently will the nurse perform assessments on this client? once upon arrival and 1hour later once upon arrival and every 2 hours afterward twice per shift as often as needed as often as Sep 28, 2022 · 39. Check vaginal discharge. Chest excursion. for patients who do not have a life-threatening condition, the second triage nurse performs a more Study with Quizlet and memorize flashcards containing terms like Client arrives on a stretcher to the medical-surgical unit. As the nurse performs the assessment and evidence-based care, which eye care will the nurse prioritize?, The nurse is preparing discharge instructions for the parents of a male newborn who is to be circumcised before discharge. A registered nurse (RN) performs The nurse is caring for a client who returned from the postanesthesia care unit 3 hours ago. 0% The nurse performs the first assessment upon arrival to the postpartum unit. For the first 12 hours, the fundus should be 1 to 2 cm above the umbilicus. , The initial assessment of Mr. The nurse notes that today's weight is 3 kg less than the previous day's. at the umbilicus. 3. The nurse measures the client's vital signs. The nurse should put the head of the bed down to 30 degrees, ensure the client’s bladder has been emptied recently and A. Where would the nurse expect to t t t t t t t t t t t t t t t t t To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A) Breath sounds. Find step-by-step Health solutions and the answer to the textbook question Upon arrival in the post-anesthesia care unit (PACU), the nurse performs the initial assessment of a client who had surgery under general anesthesia. His respiratory Sep 30, 2021 · Postpartum protocol requires that the nurse assess the client's vital signs, fundus, perineum, vaginal bleeding, pain, leg movement, and IV every 15 minutes for the first hour and then every hour for the next 3 hours. - Skeletal traction applies the pull directly on the skeletal structures. Aug 15, 2025 · The nurse performs the first assessment upon the client's arrival to the postpartum unit Where would the nurse expect to palpate the fundus? a. Nov 21, 2023 · A client has been placed in her hospital bed upon arrival to the medical-surgical unit. The client was given an epidural for anesthesia that was effective. The nurse prepares to complete the client's admission assessment after the client's transfer from the ED. a)Weight gain b)Ethnicity and religion c)Age d)Type of insurance e Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatrician's office performs a focused assessment on a 6-year-old child for reports of swollen, painful joints. The nurse performs the first assessment upon the client's arrival to the postpartum unit. The nurse measures the client’s vital signs. the nurse measures the clients vital signs. Which of the following data is necessary to collect if the patient is experiencing chest pain? a) Description of the pain b) Pulse rate in Sep 2, 2023 · "Health Promotion and Maintenance, Techniques of Physical Assessment" Ms. Question 2 of 25 What follow-up assessment data should the nurse obtain first? Use of accessory muscles. Postpartum protocol requires that the nurse assess the client's vital signs, fundus, perineum, vaginal bleeding, pain, leg movement, and IV every 15 minutes for the first hour and then every hour for the next 3 hours. Black has been placed in her hospital bed upon arrival to the medical-surgical unit. what follow-up assessment date Study with Quizlet and memorize flashcards containing terms like Which priority assessment would the nurse perform on the patient's arrival to the postanesthesia care unit (PACU)?, Which data would the PACU nurse receive from the circulating nurse during hand-off report?, Which postoperative assessment is performed by the nurse on an ongoing basis while the patient is in the PACU? and more. We have an expert-written solution to this problem! You find Marie's sheets saturated in vaginal discharge of blood. Where would the nurse expect to palpate the fundus? Postpartum protocol requires that the nurse assess Marie's VS, fundus, perineum, vaginal bleeding pain, leg movement, and IV every 15min for the first hou and then every hour for the next 3 hours the nurse performs the first assessment upon arrival to the postpartum unit. Which of the following information about the woman should the nurse note from the woman's prenatal record before proceeding with the physical assessment? Select all that apply. Color of sputum. 1 cm to the right of the umbilicus C. e.  Auscultate the carotid. Breath sounds b. To ensure the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. What would Client has been placed in her hospital bed upon arrival to the medical-surgical unit. A) Massage the fundus. Q: Which intervention should the nurse initiate first?, As the client is transferred to a stretcher the nurse notices the use of accessory muscles Terms in this set (61) A client has just returned to the unit following abdominal surgery and is in significant pain. Use of accessory muscles. c. To the right of the umbilicus. Which intervention is most important for the charge nurse to verify as completed within the first hour? A. com. Where would the nurse expect to palpate the fundus? 1 cm above the umbilicus. " Implementation of which nursing intervention will reduce this risk? A. 2. 1 cm above the umbilicus. 3 cm above the umbilicus. Study with Quizlet and memorize flashcards containing terms like To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first?, What follow-up assessment data should the nurse obtain first?, After answering a few questions, the client begins to cough. C. The nurse anticipates the client's pupils to be [Select ] [ Select ] constricted dilated Study with Quizlet and memorize flashcards containing terms like When caring for an infant with bronchopulmonary dysplasia, which is the best intervention to avoid fatigue and to decrease respiratory effort?, An older adult client who has chronic respiratory disease comes to the clinic for a 6-mnth check up. What should you do? The nurse performs the first assessment upon the client's arrival to the postpartum unit. Which intervention is most important for the charge nurse to verify as completed for her within the first hour? -A registered nurse (RN) performs and documents a comprehensive assessment. Oxygen saturation. Copious amounts of vaginal discharge and a boggy fundus indicate the need for more in-depth assessment. The priority nursing intervention (s) given this assessment would be to: a. Her oxygen saturation (SaO2) is 92% with 3 liters of oxygen per Oct 8, 2023 · The nurse performs the first assessment upon arrival to the postpartum unit. List probable factors to consider - ANSWERS70 y/o Hx: Emphysema, Admitted for: Acute Respiratory infection To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A) Breath sounds. Where would the nurse expect to palpate the fundus? fundus should be a. What assessment should the nurse perform? and more. Where would the nurse expect to palpate the fundus? 1cm above the umbilicus. . Upon arrival in the post-anesthesia care unit (PACU), the nurse performs the initial assessment of a client who had surgery under general anesthesia. Where would the nurse expect to palpate the fundus? For the first 12 hours, the fundus should be 1 to 2 cm above the umbilicus. to ensure that the clients respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first?, the initial assessment of Mr. Find step-by-step Health solutions and the answer to the textbook question The nurse performs the first assessment upon arrival to the postpartum unit. Which action requires the nurse to intervene immediately?, Ms. Place a pillow under the client’s lower back C. Where would the nurse expect to palpate the View full document Study with Quizlet and memorize flashcards containing terms like To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. , The initial assessment of client continues. perform a straight catheterization to measure the amount of urine in the bladder b. 1 cm above the umbilicus Rationale: Mar 26, 2024 · The nurse performs the first assessment upon the client's arrival to the postpartum unit. To ensure the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? Jun 22, 2020 · To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? Dec 13, 2023 · Explanation Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. What steps would you take? Take over performing CPR and apply an AED The first triage nurse gives the patient a rapid assessment immediately upon arrival to determine whether the patient has a life-threatening emergency. Upon arrival of the patient to the post-anesthesia recovery unit (PACU), which assessment does the nurse perform first? Level of consciousness Urinary retention Level of pain The client goes to surgery, where reduction and fixation is performed. b. Quickly memorize the terms, phrases and much more. Cultural health beliefs. The unlicensed assistive personnel (UAP) stocks the room with client care supplies. The nurse prepares to complete the client's admission assessment after client's transfer from the emergency department (ED). The nurse prepares to complete the client's admission assessment after Mr. The nurse performs the assessment upon the client's arrival to the postpartum unit. Study with Quizlet and memorize flashcards containing terms like Meet the Client, To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? Breath sounds. A hematoma formation could contribute to hypovolemia and needs to be prevented. The unit is busy, and the charge nurse tells the Emergency Department unlicensed assistive personnel (UAP) to place her in room 3. The nurse measures the client's vital signs Jan 29, 2025 · from the emergency department (ED). Where would the nurse expect to palpate the fundus? - correct answers. 1 cm above the umbilicus D. -A practical nurse (PN) inserts an intravenous catheter and collects blood samples. Midway between the umbilicus and the pubic bone. Breath sounds. 1 cm above the umbilicus The nurse performs the first assessment upon arrival to the postpartum unit. Place one hand over the bladder and use fingertips to locate fundus D. Which action is most important for the nurse to implement immediately? Massage the fundus. Which assessment finding prompts the nurse to notify the physician immediately? * The nurse is preparing to assess a post-partum client’s fundus. The nurse performs the first assessment upon arrival to the postpartum unit. A nurse assesses a client for blood pressure. d. Where would the nurse expect to palpate the fundus? A. Postpartum protocol requires that the nurse assess Marie's vital signs, fungus, perineum, vaginal bleeding, pain, leg movement and IV every 15 minutes for the first hour and then every hour for the next 3 hours. Which action is most important for the nurse to implement immediately? D) 1 cm above the umbilicus. Which intervention will the nurse carry out as a priority upon arrival of the client?, A client with agoraphobia will undergo systematic When the first unit of packed red blood cells (PRBCs) is infused, the nurse performs a targeted assessment. Place hand above symphysis pubis for support A nurse uses a bed scale to perform a client's daily weight. Level of fatigue. Get your coupon Science Nursing Nursing questions and answers A nurse is performing a postpartum assessment on a client who delivered vaginally. 's RR is 32 BPM. D) 1 cm above the umbilicus. o Midway between the umbilicus and the pubic bone. b. Jun 23, 2023 · Risk for injury The nurse performs the first assessment upon arrival to the postpartum unit. D. Mr. - Use of accessory muscles indicates an increased respiratory effort by the client and indicates that the client may be experiencing respiratory The unit is busy, and the charge nurse tells the Emergency Department unlicensed assistive personnel (UAP) to place her in room 3. The nurse performs an initial assessment upon a client's arrival to the trauma center following a motor vehicle crash. Winchell's transfer from the emergency department (ED). Question: The nurse performs the first assessment upon the client's arrival to the postpartum unit. Ask the client to place hands under head B. The nurse anticipates the client's pupils to be 1 Select] and the client's urine output to be ( Select] • The nurse also anticipates the client's skin to appear [Select ] and [ Select ] ( Select] flushed (hyperpigment) pale (hypopigment) Apply perineal ice packs consistently for the first 24 hours. Where would the nurse expect to palpate the fundus? Prior to discontinuing the IV, it is most important to ensure that the uterus is contracting by assessing fundal firmness. Cram. C) Level of fatigue. Jan 27, 2025 · The nurse performs the first assessment upon the client's arrival to the postpartum unit. Which assessment finding prompts the nurse to notify the health care provider (HCP) immediately? 1 Difficult to arouse 2 Muscle stiffness 3 Pinpoint pupils 4 Temperature 9 6 F Case Study: Respiratory Assessment 5. NURS622 Case Study - Respiratory Assessment To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. , **Priority Data Collection To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first?, **The initial assessment of client continues. Higher-acuity patients may be taken directly to the ED based on this initial quick-look. 3 cm above the umbilicus. For each finding, click to specify if the finding indicates The nurse performs an initial assessment upon a client's arrival to the trauma center following a motor vehicle crash. What follow-up assessment data should the nurse obtain first?, After answering a few questions, the client begins to cough. Jackson continues. His respiratory rate is 32 breaths per minute. To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. Where would the nurse expect to palpate the fundus? a. 5% ophthalmic erythromycin. 0 (2 reviews) To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. Which intervention is most important for the charge nurse to verify as completed for her within the first hour? A registered nurse (RN) performs and documents a comprehensive assessment. She was in labor for 16 hours and forceps were used to assist with the delivery. Where would the nurse expect to palpate the View full document 4)The nurse performs the first assessment upon the client's arrival to the postpartum unit. d. Hesi Rn Case Study: Postpartum QuizD) 1 cm above the umbilicus. Apply perineal ice packs consistently for the first 24 hours. Where would the nurse expect to palpate the fundus? 1 cm above umbilicus We have an expert-written solution to this problem! What is the priority nursing action to address the client's needs related to her repaired 4th degree perineal laceration? The nurse performs the first assessment upon arrival to the postpartum unit. Nov 7, 2023 · Case Study Postpartum Answer Key Meet the Client The client is gravida 2, para 2 and is transferred to the postpartum unit 1 hour after delivery of a 8 lb, 1 oz infant. Where would the nurse expect to palpate the fundus? Answer: 1 cm above the umbilicus Question: What is the priority nursing action to address Marie’s needs r/t the repair of her 4th degree perineal laceration? The nurse performs the first assessment upon the client's arrival to the postpartum unit. o To the right of the umbilicus. A nurse says that CPR began after the nurse witnessed the patient's arrest. What follow-up assessment data should the nurse obtain first? Cigarette smoking history.  Palpate the breasts. The client is pale, somnolent, and having difficulty breathing. o 1 cm above the umbilicus. Level of fatigue d. Where would the nurse expect to palpate the fundus? 0% The charge nurse, two staff nurses and an unlicensed assistive personnel (UAP) rush in to assist the nurse with Mari The nurse performs the first assessment upon the client's arrival to the postpartum unit. The nurse performs the first assessment upon the client's arrival to the postpartum unit. 1 cm to the left of the umbilicus. Where would the nurse expect to palpate the fundus? Question: Analyze Cues: The nurse performs the first assessment upon the client's arrival to the postpartum unit. The nurse adds that they withheld using the AED because the patient has an automatic implantable cardiac defibrillator. Where would the nurse expect to palpate the fundus? 1 cm above the umbilicus What is the priority nursing action to address Marie's needs r/t the repair of her 4th degree perineal laceration? Question 4 of 25 The nurse performs the first assessment upon the arrival to the postpartum unit Where would the nurse expect to palpate the fundus? 3 cm above the umbilicus. notify the physician and anticipate obtaining blood work to evaluate renal function c. 4. Which assessment finding prompts the nurse to notify the health care provider (HCP) immediately? Difficult to arouse Muscle stiffness Pinpoint pupils Temperature 96 F (35. com makes it easy to get the grade you want! Study with Quizlet and memorize flashcards containing terms like A client enters the labor and delivery suite stating that she thinks she is in labor. What should you do? Massage the fundus. Which assessment finding prompts the nurse to notify the healthcare provider immediately? Section 2 Question 2 of 23 Client has been placed in her hospital bed upon arrival to the medical-surgical unit. The nurse informs the client its time for the pneumococcal and flu vaccine. 1 cm to the left of the umbilicus D. Study with Quizlet and memorize flashcards containing terms like Which assessments are made upon the patient's arrival to the post-anesthesia care unit (PACU) following surgery?, Which patient assessment findings would the PACU nurse receive from the circulating nurse during report?, Which patient assessments are completed by the PACU nurse on an ongoing basis? and more. Which action requires the nurse to intervene immediately?, While the registered nurse (RN) is performing the admission assessment, the nurse Upon arrival to the PACU area a rapid maternal assessment is immediately completed and reported to the anesthesia provider.  Inspect the perineum. 3 cm above the umbilicus B. Chest excursion, The initial assessment of client continues. If the patient is not stable what should the nurse expect? The anesthesia provider will remain with the patient until stable, and then when the patient is stable, the nurse accepts the responsibility of the patient. Jan 8, 2024 · Explanation During the first assessment upon arrival to the postpartum unit, the nurse would expect to palpate the fundus of the uterus at the midline of the abdomen, approximately 2 centimeters below the umbilicus. Oxygen saturation c. What assessment should the nurse perform Study with Quizlet and memorize flashcards containing terms like To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first?, What follow-up assessment data should the nurse obtain first?, After answering a few questions, the client begins to cough. Fifteen minutes after the initial assessment, the nurse finds the client disoriented and lying on her back in a pool of vaginal blood, with the sheets beneath her saturated with Answer: Risk for injury Question: The nurse performs the first assessment upon arrival to the postpartum unit. Mr We have an expert-written solution to this problem! The nurse performs the first assessment upon arrival to the postpartum unit. Study with Quizlet and memorize flashcards containing terms like To ensure that the client's respiratory status is stable upon his arrival on the medical unit, the nurse should complete which assessment first? A. Study with Quizlet and memorize flashcards containing terms like Safe and Effective Care Upon arrival to the ED, the nurse notices that the client is leaning forward in the wheelchair. Upon arrival to the unit, which nursing assessment has the greatest priority? The pull of the traction on the pins. Which actions will the nurse perform? Select all that apply. Where would the nurse expect to palpate the fundus?3 cm above the umbilicus. Midway between the umbilicus and the pubic bone. Which instruction should The nurse prepares to complete the client's admission assessment after client's transfer from the emergency department (ED). We have an expert-written solution to this problem! The nurse performs the first assessment upon arrival to the postpartum unit. Where would the nurse expect to palpate the fundus? o 3 cm above the umbilicus. correct answers b. 1 cm to the right of the umbilicus. Where would the nurse expect to palpate the fundus? 3 cm above the umbilicus. B) Oxygen saturation. nysz urgcni pfu kru kmorx jmp vgpwx nmvb zkj zutb llaiqk njuot osedy mfj vqbvmy