Using the ISBARR format, in which order should the nurse make these statements to communicate a change in patient status to a health care provider? These are the statements:A. “Mr. A was admitted 3 days ago after an ORIF of the right hip. He has required furosemide (Lasix) postoperatively for diuresis, but his urine output has been low.”B. “I think that he needs to be evaluated immediately for respiratory distress and possible transfer to ICU.”C. “This is the nurse on the surgical unit at Lewis Hospital.” D. “I am calling about Mr. A in room 3. After assessing him, I am very concerned about his shortness of breath.”E. “Today, he has crackles audible throughout the posterior chest and his O2 saturation is 89% on 2 liters of oxygen. His blood pressure is 160/90 and his heart rate is 100/minute.”F. “You want me to transfer him to the ICU and you will check on him later today.”Which of the following has the statements for the ISBARR in the correct order?
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A post-operative patient has not voided for eight hours afte…
A post-operative patient has not voided for eight hours after surgery, then begins urinating 40 mL every 30 minutes. Which of the following is the most appropriate nursing action?
The nurse is caring for the patient with methicillin-resista…
The nurse is caring for the patient with methicillin-resistant staphylococcus aureus (MRSA). In providing appropriate care it is essential that the nurse is aware that MRSA is primarily spread by which of the following?
It is most important that the nurse screen the pre-operative…
It is most important that the nurse screen the pre-operative patient for which of the following?
Which nursing actions would best help to prevent venous thro…
Which nursing actions would best help to prevent venous thromboembolism in the postoperative patient? Select all that apply.
The morning after admission, a patient being treated for gal…
The morning after admission, a patient being treated for gallstones begins to vomit every 15 minutes and is complaining of abdominal pain and bloating. After assessing the client, the nurse would do which of the following?
The nurse receives a telephone lab report that a patient’s p…
The nurse receives a telephone lab report that a patient’s potassium level is high at 5.9mEq/L. Which of the following could be a potentially fatal complication of hyperkalemia?
The patient is undergoing an open reduction internal fixatio…
The patient is undergoing an open reduction internal fixation (ORIF) of a right hip fracture. Which of the following best describes this procedure?
During fluid volume repletion, the nurse continues to assess…
During fluid volume repletion, the nurse continues to assess the patient, monitoring clinical outcomes of the interventions provided. Which data will be included in the ongoing assessment?
Because of the potential need to reverse respiratory depress…
Because of the potential need to reverse respiratory depression after administration of a narcotic analgesic, the nurse should have ready access to which drug?