Reference no: EM133759868

Question

An emergency department nurse has just received report on assigned clients. Which client should the nurse assess first?

1. Client reporting back pain of 8 on a scale of 0/10 after falling down from a patch of ice.

2. Client reporting a stiff neck and has a fever of 103 ° F (39.4 ° C).

3. Client vomiting for 3 hours after eating at a restaurant.

4. Client with a history of migraines reporting a severe headache.

A client on the in-patient psychiatric unit was found to have lacerations on the wrist when the nurse made rounds. Which change in routine on the unit is most likely to prevent such an event from occurring in the future?

1. During the end-of-shift report, assign specific staff to check on each client.

2. Place newly admitted clients close to the nursing station.

3. Monitor level of suicide precaution needed on each client daily.

4. Ask clients to check on each other throughout the shift.