Question

Answer the following questions. Reply to two peers with thoughtful comments. 1. How do you prioritize your day after receiving report from the outgoing shift. 2. It is 7am and the start of your shift. You enter your patient room to complete an assessment. The patient says, "I am tired and I want to sleep." How would you respond to your patient? 3. You are at your patient bedside and you are taking vitals. The patient blood pressure is 190/111. What is your next action? The second reading is close to the first reading, what questions would you ask your patient? After gathering subjective data from the patient, what is your next action?

Answer 1

1. After receiving report from outgoing shift ,make a quick visit to each patient and check for any emergencies that need to be attended . If everything is fine then start with routine care.

Check the medication record for any changes in the medication regimen.

Check for any updates in the patient's treatment plan .

Check the records for lab test and diagnostic procedures that were ordered from the time you left the unit.

2. Firstly informed the patient about importance of this and take a quick assessment about the tiredness. If the patient still refusing the assessment then let the patient to rest.

3.a Recheck the B.P again and inform to the doctor.

b. Ask the patient about family history of B.P.

Ask about diet .

Ask the patient about history of alcoholism .

C. Prepare a nursing care plan for this patient - educate the patient about how to manage hypertension, encourage sodium restricted diet , implement regular physical activity