HESI Management A nurse finds that a patient has missed his scheduled dose of ibuprofen. What is the first action the nurse must take? Assess patient for any adverse effects related to missing the scheduled dose. There are two patients in the ER waiting to undergo ission assessment. One patient has COPD with oxygen saturation of 80% and the other patient has overdosed on acetaminophen. There is an RN and a PN available for these tasks, how should they be assigned? The RN will complete the ission assessment of the patient who has COPD and a low oxygen saturation while the PN takes the vital signs of the patient with the acetaminophen overdose. Prior to surgery, what is the initial action that the nurse should take nurse at the time of a patient’s surgery? The nurse should check that the patient is prepared for the surgery. A patient receiving morphine sulfate has a respiratory rate of 8 breaths per minute, 30 minutes later the patient’s respiratory rate was 6 breaths per minute and the nurse isters the medication narcan. What was the incorrect action in this situation? The nurse took too long to call health care provider. Which room should the nurse assign to an elderly patient who is confused and disoriented? A room near to and visible by the nurse’s station. A nurse assesses a male patient with diabetes mellitus. Which symptom would alert the nurse to conduct a focused assessment? The patient states “my hands feel weird” (paresthesia) A mental health nurse working in the community should plan initial intervention for which of the following? A man who picks up his kids from school who states he is being followed by aliens.