John April, 24 years of age, is a male patient who was admitted to the surgical unit after a successful repair of an inguinal hernia. He is 5 feet 10 inches tall and weighs kg. He has a neck circumference of 21 inches. The patient has a morphine PCA.
Which of the following nursing interventions is a priority? Which of the following would be most appropriate for the nurse to use to collect subjective data? Which of the following questions is the most appropriate conclusion to the interview?
What step should the nurse take to assure the information is factual and accurate? A client reports to a health care facility with complaints of abdominal pain and vomiting. Which of the following would be the primary source of assessment data? Client himself When the nurse inspects a postoperative incision site for infection, which one of the following types of assessments is being performed?
During the working phase of the client interview, the nurse: Asks the client to describe symptoms During the interview component of the health assessment, the nurse Nursing essay patient assessment to the client that the information is important by Sitting at eye level with the client During the introductory phase of interviewing for the purpose of obtaining information for the nursing history, the nurse should Inform the client of the maintenance of confidentiality An older adult male with a history of benign prostatic hyperplasia presents to the emergency room with complaints of urinary retention.
What type of assessment is the nurse performing? Focused assessment The nurse is using a systematic approach to the collection of assessment data. The nurse uses an assessment guide that uses a hierarchy of five life requirements that are universal to all persons.
What model for organizing the assessment data is the nurse using? Human Needs Maslow model What must the nurse do to identify actual or potential health problems? Gather data from sources How should a nurse best document the assessment findings that have caused her to suspect a patient is depressed following his below-the-knee amputation?
It is important for the nurse to Collect data in a quiet, private environment A unconscious patient is brought to the emergency department. Which of the following assessments should be implemented first?
The nurse recognizes that the drainage is an example of: Objective data A nurse is preparing to interview a client as part of the assessment. The nurse demonstrates knowledge of communication skills when the nurse does which of the following?
Uses broad, open statements A nurse practitioner has a private practice in conjunction with a physician. She is providing psychiatric care to a woman who has a past history of being abused by her husband.
During the last visit, she stated that she was planning to leave her husband. What type of assessment is the nurse practitioner implementing Time-lapsed The nurse is reviewing information about a client and notes the following assessment data.
Which of the following data cues does the nurse recognize as subjective data? Pain rating is 7 The nurse is interviewing a client who is admitted to the healthcare facility with difficulty breathing.
When beginning the interview, the nurse observes that the client is too breathless to answer. Which of the following would be most appropriate for the nurse to do? Defer the non-urgent questions until a more suitable time The nurse is conducting a nursing history of a client with a respiratory rate of 30, audible wheezing, and nasal flaring.
During the interview, the client denies problems with breathing. What action should the nurse take next? Continue the health history with questions focusing on respiratory function. A nurse assesses a client, obtaining the information from a primary source.
The nurse has gathered the information from which of the following? Which of the following would the nurse identify as a subjective cue?
Sharp pain in the knee A client has been discharged from an acute care facility. How should the nurse best proceed with this assessment? A client visits the healthcare facility for a regular check-up.
The information in this report is intended to help clinicians, employers, policymakers, and others make informed decisions about the provision of health care services. Nursing Assessment Joann Campbell Palm Beach State College August 26, Nursing assessment is one of the main stages of the nursing process. According to Webster’s dictionary, “ nursing assessment is the gathering of information about a patient’s physical, psychological, sociological, and spiritual status”. Examine a clinical situation that involved a pain assessment, patient findings, and appropriate nursing interventions Based on the textbook readings/clinical experience, examine a clinical situation that involved a pain assessment, patient findings, and appropriate nursing interventions.
The nurse integrates the functional health pattern model when assessing the client. Which of the following best describes how the nurse collects and organizes the data? Which of the following is a primary source of information?
The nurse asks if the client is experiencing pain. The client nods yes and refuses to continue the bath. Which of the following actions clearly demonstrates assessing?The process of conducting a physical assessment: a nursing perspective Heather Baid Health histoiy The nurse should begin the physical assessment by establishing Abstract an appropriate, non-judgmental environment, which will Physical assessment is a new responsibility for many nurses in the UK ensure privacy, comfort and patient dignity (While.
Cardiovascular Assessment A Home study Course Offered by Nurses Research Publications P.O. Box is also essential for the treatment of the patient as well as for the nursing care.
Lastly, follow through with your findings. Especially if there is an abnormality, report your. The Nursing needs assessment is usually seen in health care institution which is being filed as part of the patient’s information. The Nursing needs assessment is a tool used to obtain data about the person as a whole after undergoing a treatment, procedure or .
Nursing Assessment Joann Campbell Palm Beach State College August 26, Nursing assessment is one of the main stages of the nursing process. According to Webster’s dictionary, “ nursing assessment is the gathering of information about a patient’s physical, psychological, sociological, and spiritual status”.
SELF ASSESSMENT OF NURSING PRACTICE STANDARDS 8 ANA standard. “The registered nurse implements the identified plan” (ANA, , p. 38). Evidence based interventions and treatments should be using caring behaviors and in a timely manner.
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