m v m v m v m v m v m v m v
once pt- mv
Based Approach 4th Edition Pearson
m v m v m v m v m v
,Clinical Nursing Skills: A Concept- mv
Based Approach, 4e (Pearson) Education Test Bank Chapter 1: m v m v mv Assessment
1) A client on the medical/surgical unit complains of sudden chest
pains. Which a ction will the nurse implement first?
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A) Call the healthcare provider.
B) Administer pain medication. m v m v
C) Reassess a new set of vital signs.
D) Turn client from supine mv mv mv mv
t o lateral. ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before
c alling the h ealthcareprovider.
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B) The nurse will need to reassess the client first, before administering pain medication.
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C) The nurse needs to implement a new set of vital signs
first when there is a change in condition.
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D) The nurse will need to reassess the client first, before
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moving the client, to avoid making the change in client's
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condition worse. m v
Page Ref:
2 Cognitiv mv
e Level:
m v
Applying
Client Need/Su m v
b: Physiological Integrity: Reduction of Risk Potential m v m v m v mv m v
Standards: Nursing Process: Assessment | Learning Outcome: 1.
1 | QS EN Competencies:Patient- mv mv
Centered Care AACN Domains and m v Comps.: m v
Domain 2: Person-
Centered Care NLN Competencies: Relationship Cente
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red Ca re mv mv
2) The nurse is observing the UAP taking the temperature of an
unc onscious cl ient. Which route will
mv the nurse question the mv mv mv m
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UAP using?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
iiANSWER:
A
Explanation: A) The temperature of an unconscious client is never
taken by mouth. The rectal,tympanic, or mv scanner method is mv mv
preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
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D) The rectal, tympanic, or scanner metho
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d i s preferred.Page Ref: 24
mv mv mv m v m v
Cognitive Level: m v
Client Need/Sub: m v
1
, Applying Safe and Effective Care Environment: Safety and Infection Control St
mv mv mv mv mv mv mv mv mv
andards: Nursing Process: Evaluation | Learning Outcome:
mv 1.1 | QSEN Comp
mv
etenci es: SafetyAACN Domains and Comps.: Domain 5:
mv mv Quality and Safety
NLN Competencies: Quality & Safety
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2