After receiving change of shift report, which of the following clients should the nurse assess first?
A)A 44-year-old receiving IV antibiotics for meningococcal meningitis
B)A 23-year-old who had a skull fracture and craniotomy the previous day
C)A 30-year-old who has an intracranial pressure (ICP) monitor in place after a head injury a week ago
D)A 61-year-old who has increased ICP and is receiving hyperventilation therapy

Question

Quizplus · Accepted Answer

The client that should be seen first is the one that requires the closest monitoring-the client with ICP and receiving hyperventilation therapy. The postcraniotomy client, client with an ICP monitor, and the client on IV antibiotics should be assessed as well but the priority would be the most critically ill clients.

After Receiving Change of Shift Report, Which of the Following