Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A clinical nurse specialist is assigned to the following patients. Which one should the nurse see first after a shift report?
  1. A patient who is five hours postoperative appendectomy and is complaining of pain
  2. A patient who has myocardial infarction and is complaining of nausea
  3. A patient who is postoperative abdominal hysterectomy whose incision dressing is saturated with serosanguinous fluid
  4. A patient admitted for dehydration whose IV has infiltrated
Explanation
Answer - B - After a shift report, the nurse should first see the patient who has myocardial infarction and is complaining of nausea. Nausea is a symptom of impending myocardial infarction and should be assessed immediately so that treatment can be instituted and further damage to the heart avoided.
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