a mildly confused client due for a dressing change on a diabetic ulcer to the heel an elderly, stable client who just returned from an MRI to rule out a kidney mass a client whose IV pump has started beeping, indicating that the antibiotic has completed infusing a client complaining of sudden warmth and pain…
A nurse is working with an unlicensed assistive personnel (UAP) to perform a bed bath on a client. The nurse notes the smell of alcohol on the UAP’s breath. Which is the priority nursing action?
Work closely with the UAP during the shift and observe for any signs of impairment. Complete the bed bath without comment. The unit is already short one staff member. Offer chewing gum to the UAP. Since she does not give medications, she can do her job as she does not appear impaired. Call for another…
An external weather disaster has flooded the emergency department with several new clients. Which client should the nurse see first ?
the client complaining of chest pain and nausea who is diaphoretic the client with a simple fracture of the radius from a fall on a staircase the client complaining of slight redness and itching at the IV site in his hand the client presenting with a sprained ankle from a tree branch falling on him
A nurse is preparing a client scheduled for a right mastectomy. Which statement indicates the need for further intervention?
The client refuses to sign the blood consent since she is a Jehovah’s Witness. The client identifies the right breast as the surgical site for a right mastectomy. The client signs the consent form with an X, which is witnessed by two licensed personnel. The client expresses doubt over her decision and asks the nurse…
The nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which client task should the nurse delegate to the UAP?
a client whose IV infiltrated and needs replacing a client on BiPAP who needs arterial blood gases (ABGs) drawn a client with mild dementia who needs assistance with her food tray a client who needs a wet-to-dry dressing change on an abdominal incision