Nina the New Nurse feels as if she is being drawn and quartered! Since she can’t divide herself into four separate nurses, in which order should these clients be seen?
I.. 82-year-old, admitted for chronic heart failure, receiving furosemide 40 mg, PO, daily. Nursing assistant (NA) reports a two pound decrease in weight since yesterday morning.
II.. 32-year-old, admitted for open reduction of fractured femur. History of schizophrenia. Licensed practical nurse (LPN) reports increased temperature (101.2F) and slight tremors; client is complaining of stiff jaw and muscle cramps.
III. 50-year-old, newly diagnosed IDDM, notified by NA client is requesting further dietary guidance and assistance with menu choices.
IV. 61-year-old, open inguinal hernia repair, one-day post-op. Unit secretary advising that the client has requested medication for surgical pain.