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Exam (elaborations)

NUR EXAM 1 QUIZ QUESTIONS AND ANSWERS

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NUR EXAM 1 QUIZ QUESTIONS AND ANSWERS

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NUR EXAM 1 QUIZ QUESTIONS AND
ANSWERS



An assessment of a client who already has a complete recorded database in the system and
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returns to the health care agency with a specific health concern is referred to as a(n)? - ans-
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focused or problem-oriented assessment. fz fz fz




When a client first enters the hospital for an elective surgical procedure, the nurse should per
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form an assessment termed? - ans-comprehensive
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After completing a health history and physical assessment the nurse prepared to analyze th
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e collected data. In which phase of the nursing process is the nurse focusing? - ans-
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Nursing diagnosis fz




A nurse has assessed a client who was admitted to the medical unit to treat acute complicatio
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ns of type 1 diabetes. During the assessment, the client admitted that his blood sugar monito
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ring when he is at home is "a bit sporadic." How should the nurse best respond to this assess
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ment finding? - ans-Identify a nursing diagnosis of Ineffective Health Maintenance.
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The nurse is completing a health assessment with a newly admitted client. What should the n
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urse do after completing the health history?
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perform a physical examination fz fz fz




document the findings fz fz




determine a problem list fz fz fz




cluster the data - ans-perform a physical examination
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The nurse notes that an intervention provided to a client for a specific health problem was not
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effective. Which action should the nurse take next? fz fz fz fz fz fz fz




Analyze the newly collected data fz fz fz fz




Implement a new action fz fz fz




Identify a new outcome fz fz fz




Assess the status of the health problem - ans-Assess the status of the health problem
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The nurse is performing a health assessment with a client who presented to the emergency d
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epartment after falling as a result of feeling dizzy. Which questions demonstrates that the nur
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se understands the initial purpose of effectively conducting a health assessment?
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Select all that apply.
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, A. "Do you know what may have caused you to fall?"
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B. "Are you experiencing any pain at this time?"
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C. "Do you know what your blood pressure is usually?"
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D. "What do you think will help you from falling again?"
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E. "Are you feeling dizzy now?" - ans-B, C, E
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A nurse provides care for a client with an elevated temperature. The client is given the prescri
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bed medication and the nurse checks the client's temperature at repeated intervals. What st
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ep of the nursing process is the nurse using to determine whether the client has achieved the
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outcome criteria of the treatment? - ans-Evaluation fz fz fz fz fz fzfz




A nurse provides care for a client with impaired respiratory function. The nurse frequently as
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sesses the client's skin color and temperature of the extremities. What is the purpose of this o
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ngoing or partial assessment? fz fz fz




To evaluate whether outcomes of treatment are met
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To collect subjective data related to the client's overall health
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To determine any changes from the baseline data
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To perform a rapid assessment for prompt treatment - ans-
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To determine any changes from the baseline data
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When performing the steps of the assessment phase of the nursing process, which of the foll
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owing would the nurse do first?fz fz fz fz fz




Validate the data fz fz




Collect objective data fz fz




Collect subjective data fz fz




Document the data - ans-Collect subjective data fz fz fz fzfz fz fz




Although the assessment phase of the nursing process precedes the other phases, the asse
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ssment phase is fz fz




performed only by nurses. fz fz fz




linear.
completed on admission. fz fz




continuous. - ans-continuous. fz fzfz




What will be the nurse's initial role when conducting a health assessment with a client reporti
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ng abdominal pain?
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Collecting data regarding the nature of the pain fz fz fz fz fz fz fz

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