Abby just started on her shift and just got report, which patient is priority to assess first?
Mr. Daniels, a 40 year old, who has had a LUE cast for 4 days and has itching he can't reach and unresolved for the past hour.
Mrs. Martin who is 78 years old has doctor's orders for discharge and RN from prior shift has not done discharge teaching and Mr. Martin has to be at work soon and emphasizes need to teaching right now.
55 year old Mrs. Akins has returned from PACU after parathyroidectomy and seem to be experiencing breathing difficulty and sats went from 98% to 78% in the past 10 minutes.
38 year old Mr. Rylex is complaining his meal tray did not have the apple juice he ordered when he called for lunch an hour ago.
Ms. Cross is a 32 year old female with serum calcium 0.7 mg/dL, T-score of 2.0 in the right knee and ankle from an old ankle injury is complaining why the doctor doesn't just let her have a parathyroidectomy so she can get better? What is the best response from the nurse?
"Dr. Smith knows what is best for you and you shouldn't question him."
"Is is possible that there are other alternatives for treatment right now because you may not need surgery at this point in time of your condition."
"It seems that you are frustrated with the doctors recommendation, I ask him to come back to speak with you."
"You're too young for surgery and you should be grateful you're not getting surgery."
A patient is here to see the doctor with her cheif compaint of fatigue, you take her blood pressure and notice her arm contracts as you pump up the cuff what will be your first action?
Document findings in patients chart
Deflate the cuff and notify the physician
Assess for other signs and symptoms
Draw labs for suspected hypocalcemia
A patient is diagnosed with hypoparathyroidism, what foods would you teach the patient to eat if she has hypocalcemia as well as hypomagnesimia?
How much have you learned......
Answers
1st question: 3
2nd question: 2
3rd question: 3
4th question: 3