For sure, would love to share my thinking process and please point out if it doesn't make sense!
1) Family came to you at the nursing station and informed you that the pt is having SOB. The pt was fine this morning. What are you going to do? (also, I was not sure when do you start calling the doctor about this?)
I'll ask the family what other symptoms is the pt displaying. I'll grab the VS machine and once I'm inside the room, I'll put the pt at high Fowler's position, check oxygen, ask PQRSTU for the SOB/chest pain. I'll reposition the pt and after All these interventions don't work. With the assessment, I'll report to the doctor. But I think I'll double assess the pt before reporting but within half an hour. I'll report to the doctor right away if there's chest pain and anticipate orders for ECG and blood work or O2 sat is below 92%. I'll also provide 2L of Oxygen right away if it's around 92%.
Anything else am I missing?
2) A confused pt is becoming more agitated and started to pull out IV. What are you going to do?
Determine the root causes of agitation such as sundowning/pain/soiled brief/thirsty/hungry etc. put the bed at lowest height, 3 side rails up, bed alarm on. If bed alarm activated more than three times, I'll tell the charge nurse to request for a sitter to sit with the pt. The last resort is restrains.
3) Why is it beneficial for the nursing float team (med/surg) to hire new graduate nurses instead of using agency staff/overtime? *NOT asking why it's beneficial for the new grad nurses
no idea at all lol