After Change-Of-Shift Report,which Patient Should the Nurse Assess First

question 24

Multiple Choice

After change-of-shift report,which patient should the nurse assess first?

• A)Patient with myasthenia gravis who is reporting increased muscle weakness
• B)Patient with a bilateral headache described as "like a band around my head"
• C)Patient with seizures who is scheduled to receive a dose of phenytoin (Dilantin)
• D)Patient with Parkinson's disease who has developed cogwheel rigidity of the arms

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Definitions:

Extended Care Agency

An organization that provides long-term medical and non-medical services to individuals who require assistance with daily living activities due to chronic illness or disability.

Unilateral Neglect

A condition often resulting from brain damage where a patient is unaware of and does not respond to one side of their body or the environment.

Nonblanchable Redness

Skin redness that does not lighten or turn white when pressure is applied, indicating possible tissue damage or pressure ulcer.

Impaired Skin Integrity

A condition in which the normal structure and function of the skin are damaged, leading to breaks, cuts, or lesions.