Shift Nurse Taking Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to shift nurse taking and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves shift nurse taking. A strong answer should include explanation, application, and examples.

Original Question

1. The day shift nurse is taking reports from the previous shift and receives the following information. Mr. D in room 131 has been here for 5 days. He was originally admitted for heart failure and had crackles in his lungs and 3+ and edema in his legs. He takes a lot of medication for his heart and doesn’t really comply at home. He takes Furosemide, Digoxin, a baby aspirin, and metoprolol. This morning his vitals were HR 88 BP 152/06 oxygen 90% on 2L via nasal cannula, he has pain 3/10, Lab drew blood about 20 minutes so the results should be ready soon. His wife has been here every day to check on him and is very attentive. . What additional information should the day shift nurse request? • What are the priority assessments the day nurse should perform for Mr. D. Why are these priorities? 2. A nurse is caring for a patient who reports frequent nose bleeds at night, recent bruising with minor injuries, fatigue, and headaches. During the assessment, the nurse notes pale mucosa, delayed capillary refill, thready pulse, and petechiae on the arms and legs. The patient’s CBC results are • RBC: 2.8 with normocytic cells on the blood smear • WBC: 1.6 • Platelets: 95,000 • H/H: 8/30. Which additional physical assessment finding would be most concerning for the nurse? 3. The nurse is caring for a patient admitted for thrombocytopenia who reports abdominal pain 8/10 after falling down the stairs. Identify whether each assessment finding indicates treatment has been effective, ineffective or unrelated. Question • Heart rate 88 bpm • Lung sounds clear bilaterally • Blood pressures 122/84 • Hemoglobin 5.8 g/dL • Thready peripheral pulses • Cool extremities • Axillary temperature 98.8 • Negative hemoccult

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