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The Nurse Is Reviewing a Patient's Database for Significant Changes

question 5

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The nurse is reviewing a patient's database for significant changes and discovers that the patient has not voided in over 8 hours.The patient's kidney function labs are abnormal,and the patient's oral intake has significantly decreased since previous shifts.Which step of the nursing process should the nurse proceed to after this review?


Definitions:

Crisis Team

A specialized group designed to respond to emergencies and crises, providing immediate intervention and support.

Triage

The process of determining the priority of patients' treatments based on the severity of their condition.

Critical Needs

Essential requirements or services deemed necessary for the survival or basic functioning of individuals or communities.

Stalking Cases

Incidents where an individual repeatedly follows, contacts, or harasses someone else, causing them to feel fear for their safety.

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