NUR 160-Hondros Exam 1| 123 Questions and Answers(A+ Solution guide)

just culture - workers are protected from disciplinary action when they report injuries, errors, or near misses close-ended question - What is your name? false reassurance - Everything will be fine Why Assess? - To identify changes in pt condition, to help foresee areas of concern RN - who does the initial assessment? Within 24 hours - When should an initial assessment be done? discharge planning - What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor Steps of an assessment - 1. Introduce self 2. Explain procedure 3. wash hands 4. Identify pt 5. Provide privacy 6. Inspect, auscultate, palpate Correct, then continue - If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale through nose, exhale through mouth)