CORRECT ANSWERS RATED A+
SURE PASS
Anmassessmentmofmamclientmwhomalreadymhasmamcompletemrecordedmdatabaseminmthemsystemmandm
returnsmtomthemhealthmcaremagencymwithmamspecificmhealthmconcernmismreferredmtomasma(n)?m-
mCORRECTmANSWERSmfocusedmormproblem-orientedmassessment.
Whenmamclientmfirstmentersmthemhospitalmformanmelectivemsurgicalmprocedure,mthemnursemshouldmp
erformmanmassessmentmtermed?m-mCORRECTmANSWERSmcomprehensive
Aftermcompletingmamhealthmhistorymandmphysicalmassessmentmthemnursempreparedmtomanalyzemthe
mcollectedmdata.mInmwhichmphasemofmthemnursingmprocessmismthemnursemfocusing?m-
mCORRECTmANSWERSmNursingmdiagnosis
Amnursemhasmassessedmamclientmwhomwasmadmittedmtomthemmedicalmunitmtomtreatmacutemcomplicat
ionsmofmtypem1mdiabetes.mDuringmthemassessment,mthemclientmadmittedmthatmhismbloodmsugarmmo
nitoringmwhenmhemismatmhomemism"ambitmsporadic."mHowmshouldmthemnursembestmrespondmtomthisma
ssessmentmfinding?m-
mCORRECTmANSWERSmIdentifymamnursingmdiagnosismofmIneffectivemHealthmMaintenance.
Themnursemismcompletingmamhealthmassessmentmwithmamnewlymadmittedmclient.mWhatmshouldmthem
nursemdomaftermcompletingmthemhealthmhistory?
performmamphysicalmexamination
documentmthemfindings
determinemamproblemmlist
clustermthemdatam-mCORRECTmANSWERSmperformmamphysicalmexamination
,Themnursemnotesmthatmanminterventionmprovidedmtomamclientmformamspecificmhealthmproblemmwasmn
otmeffective.mWhichmactionmshouldmthemnursemtakemnext?
Analyzemthemnewlymcollectedmdata
Implementmamnewmaction
Identifymamnewmoutcome
Assessmthemstatusmofmthemhealthmproblemm-
mCORRECTmANSWERSmAssessmthemstatusmofmthemhealthmproblem
Themnursemismperformingmamhealthmassessmentmwithmamclientmwhompresentedmtomthememergencym
departmentmaftermfallingmasmamresultmofmfeelingmdizzy.mWhichmquestionsmdemonstratesmthatmthemn
ursemunderstandsmtheminitialmpurposemofmeffectivelymconductingmamhealthmassessment?mSelectmall
mthatmapply.
A.m"Domyoumknowmwhatmmaymhavemcausedmyoumtomfall?"
B.m"Aremyoumexperiencingmanympainmatmthismtime?"
C.m"Domyoumknowmwhatmyourmbloodmpressuremismusually?"
D.m"Whatmdomyoumthinkmwillmhelpmyoumfrommfallingmagain?"
E.m"Aremyoumfeelingmdizzymnow?"m-mCORRECTmANSWERSmB,mC,mE
Amnursemprovidesmcaremformamclientmwithmanmelevatedmtemperature.mThemclientmismgivenmthempresc
ribedmmedicationmandmthemnursemchecksmthemclient'smtemperaturematmrepeatedmintervals.mWhatm
stepmofmthemnursingmprocessmismthemnursemusingmtomdeterminemwhethermthemclientmhasmachievedm
themoutcomemcriteriamofmthemtreatment?m-mCORRECTmANSWERSmEvaluation
, Amnursemprovidesmcaremformamclientmwithmimpairedmrespiratorymfunction.mThemnursemfrequentlymas
sessesmthemclient'smskinmcolormandmtemperaturemofmthemextremities.mWhatmismthempurposemofmthis
mongoingmormpartialmassessment?
Tomevaluatemwhethermoutcomesmofmtreatmentmaremmet
Tomcollectmsubjectivemdatamrelatedmtomthemclient'smoverallmhealth
Tomdeterminemanymchangesmfrommthembaselinemdata
Tomperformmamrapidmassessmentmformpromptmtreatmentm-
mCORRECTmANSWERSmTomdeterminemanymchangesmfrommthembaselinemdata
Whenmperformingmthemstepsmofmthemassessmentmphasemofmthemnursingmprocess,mwhichmofmthemfol
lowingmwouldmthemnursemdomfirst?
Validatemthemdata
Collectmobjectivemdata
Collectmsubjectivemdata
Documentmthemdatam-mCORRECTmANSWERSmCollectmsubjectivemdata
Althoughmthemassessmentmphasemofmthemnursingmprocessmprecedesmthemothermphases,mthemasses
smentmphasemis
performedmonlymbymnurses.
linear.
completedmonmadmission.
continuous.m-mCORRECTmANSWERSmcontinuous.