A nurse has arrived at the hospital on a medical-surgical unit at 0700 for his shift. He is receiving shift report on his patients from the night shift nurse. Which report tells him he should see this patient first? 

A 54-year-old patient with a history of alcohol-related liver disease is admitted with ascites, jaundice, and elevated AST/ALT levels. During the nursing assessment, the patient reports daily habits and medication use. Which statement by the patient requires the nurse to intervene? 

A 56-year-old patient with a history of alcohol-related cirrhosis is admitted with increasing confusion, difficulty sleeping, and muscle twitching. On assessment, the nurse notes jaundice, abdominal distention, ascites, and asterixis. The patient’s ammonia level is elevated. The provider prescribes IV fluids, lactulose, and rifaximi. Which action should the nurse take to improve the patient’s neurological status?  

A patient has just returned to the surgical unit after an esophagogastroduodenoscopy (EGD). The RN is supervising the unlicensed assistive personnel (UAP). Which action requires the RN to intervene? 

Women are more likely than men to _____ under stressful circumstances.

A nurse is caring for a patient receiving continuous jejunostomy feedings. Which assessment finding requires prompt nursing intervention?

The postoperative unit has received four bariatric surgery patients. Which patient is the priority for immediate nursing assessment? 

A patient with acute nausea and vomiting is prescribed ondansetron 0.15 mg/kg IV push. The patient weighs 176 lbs. The available concentration is   4mg/2mL. How many mL should be administered per dose? Hint: solve for mg/kg first. 

A nurse is preparing to initiate enteral feeding for a client who has a newly inserted nasogastric (NG) tube. The provider’s prescription states, “Verify tube placement before starting feeding.” Which action should the nurse take to verify correct placement of the NG tube?

A 58-year-old patient has been diagnosed with stomach cancer and is scheduled to begin chemotherapy. During morning rounds, the patient says to the nurse: “I don’t know how I’m going to tell my family about this. I feel like I’m letting everyone down.” Which response by the nurse demonstrates therapeutic communication?