After Receiving Change-Of-Shift Report, Which of the Following Patients Should

question 43

Multiple Choice

After receiving change-of-shift report, which of the following patients should the nurse assess first?

• A) A patient whose new ileostomy has drained 800 mL over the previous 8 hours
• B) A patient with familial adenomatous polyposis who has occult blood in the stool
• C) A patient with ulcerative colitis who has had six liquid stools in the previous 4 hours
• D) A patient who has abdominal distention and an apical heart rate of 136 beats/minute

---

Definitions:

Cytoplasm

Protoplasm of the cell surrounding the nucleus.

Plasma

The liquid component of blood, in which the blood cells are suspended, consisting mainly of water and proteins.

Na+

Sodium ions, essential electrolytes in the body that help maintain blood pressure and volume, and are critical for proper muscle and nerve function.

Excretion Route

Pathways through which waste products are eliminated from the body, including the renal, respiratory, digestive, and integumentary systems.