The nurse receives vitals and information about four patients from the unlicensed assistive personnel an hour after shift report. With which patient does the nurse follow up first?

Patient with diverticulosis with new onset fever, tachycardia, and bloating. Fever and tachycardia may indicate the patient with diverticulosis is progressing to acute diverticulitis. This patient should be assessed by the nurse first to ensure prompt treatment ensues. The patient who report pain medication failure can be assessed after the patient with the status change of fever and tachycardia. The patient with COPD who has a productive cough and pursed lip breathing in the morning is exhibiting signs of the disorder; this is not abnormal for a patient with COPD. Delirium tremens, caused by alcohol withdrawal, commonly presents with visual hallucinations. This patient may need medication to assist with the withdrawal process, but this patient can wait until after the patient who has progressed from diverticulosis to acute diverticulitis.

The nurse receives vitals and information about four patients fro...

NCLEX Practice
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Management of Care
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Category: Management of Care
Difficulty: 7

Topics: Communication & Documentation Delegation, Prioritization and Leadership Gastrointestinal

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