After receiving the handoff report from the day shift charge nurse,which patient should the evening charge nurse assess first?
A) A patient with meningitis complaining of photophobia
B) A mechanically ventilated patient with a GCS of 6
C) A patient with bacterial meningitis on droplet precautions
D) A patient with an intracranial pressure ICP of 20 mm Hg and an oral temperature of 104°F

Question

Quizplus · Accepted Answer

The charge nurse should assess the patient with an ICP of 20 mm Hg and a temperature of 104°F as this is an abnormal finding and should be investigated further.A patient with a GCS of 6 being mechanically ventilated has a secure airway and there is no indication of distress.Photophobia is an expected finding with meningitis,and droplet precautions are appropriate for a patient with bacterial meningitis.

After Receiving the Handoff Report from the Day Shift Charge