A cnurse cconducts can cinitial ccomprehensive cassessment cfor ca cclient cadmitted cwith ca cfever cof c
cof cassessment cis cprimarily cthe cnurse's cresponsibility?
-Collect csubjective cdata crelated cto coverall cfunction
-Perform ca cmusculoskeletal cexamination
-Take canthropometric cmeasurements
-Obtain ca c24-hour cdiet crecall c- cCORRECT cANS✔✔collect csubjective cdata crelated cto coverall cfu
An colder cadult cclient chas cbeen cadmitted cto cthe chospital cwith cfailure cto cthrive cresulting cfrom cc
cwould cthe cnurse cimplement cin cresponse cto ca ccollaborative cproblem? c- cCORRECT cANS✔✔M
cglucose cfour ctimes cdaily.
When cperforming cthe csteps cof cthe cassessment cphase cof cthe cnursing cprocess, cwhich cof cthe cf
cfirst? c- cCORRECT cANS✔✔collect csubjective cdata
The cnurse cperforms can cassessment con ca cnewly cadmitted cclient. cData canalysis creveals ctempe
c82/58 cmm cHg, c02 cSaturation c91% cRA, cproductive ccough, clethargy, cdiaphoresis, cWBC c15,000
cHematocrit c29%. cWhat caction cshould cthe cnurse ctake cnext? c- cCORRECT cANS✔✔develop cdia
A cclient cadmitted cto cthe chospital cwith cstatus casthmaticus csuddenly cdevelops cthe cfollowing csig
cheart crate c(105 cbpm), cincreased crespiratory crate c(24/min), cO2 csaturation c90% con c100% cnonr
cabsence cof cwheezing. cWhat caction cshould cthe cnurse ctake? c- cCORRECT cANS✔✔perform cem
A cnurse cprovides ccare cfor ca cclient cwith can celevated ctemperature. cThe cclient cis cgiven cthe cpre
cnurse cchecks cthe cclient's ctemperature cat crepeated cintervals. cWhat cstep cof cthe cnursing cproces
cdetermine cwhether cthe cclient chas cachieved cthe coutcome ccriteria cof cthe ctreatment? c- cCORRE
A chome chealth cnurse cis cvisiting ca cclient cwho crecently cwas chospitalized cfor crepair cof ca cfractur
, The cnurse cis cthe cprimary ccare cprovider cfor ca c21-year-old cman cwho, cas cthe cresult cof ca cbrain
biking caccident cin chis cteens, chas cthe ccognitive cabilities cof ca c9-year-old. cHow cshould cthe cnurs
ccognition cand ccomprehension cduring cassessment? c- cCORRECT cANS✔✔Use cthe cclient's cfam
A cclient chas cjust cbeen cadmitted cto cthe cpostsurgical cunit cfrom cpostanesthetic crecovery, cand cth
cphase cof cthe cclient cinterview. cWhich cof cthe cfollowing cactivities cshould cthe cnurse cperform cfirst
cthe cpurpose cof cthe cinterview
During cthe cworking cphase cof can cinterview cthe cnurse cencourages cthe cclient cto ccontinue cand ce
cWhat ctechnique cis cthe cnurse cusing? c- cCORRECT cANS✔✔active clistening
A cnurse cis cpreparing cto cassess ca cclient cwho cis cnew cto cthe cclinic. cWhen cbeginning cthe ccollec
caction cshould cthe cnurse cprioritize? c- cCORRECT cANS✔✔establishing ca ctrusting crelationship
During cthe creview cof csystems, ca cclient creports chaving cdifficulty cwith curination cand cwith cestabli
cadditional cinformation cshould cthe cnurse crecognize cas cthe chighest cpriority cto cassess cat cthis ctim
cANS✔✔sexual chistory
The cnurse cwould cdocument cdriving cwith ccar cseatbelt cfastened, cbicycling cwith cproperly-fitted che
cdetector cin ca cvacation chome cin cthe cclient's chealth chistory cunder cwhich cof cthe cfollowing? c- cCO
csocial chistory
A cclient cscheduled cfor csurgery ctells cthe cnurse cthat che cis cvery canxious cabout cthe csurgery. cWh
cthe cnurse cwhen cinteracting cwith cthis cclient? c- cCORRECT cANS✔✔Provide csimple cand corganiz
A cnurse cis cperforming ca chealth chistory con ca cnew cclient. cWhat cbiographical cdata cshould cthe cn
cANS✔✔date cof cbirth
religion
occupation
What cdoes cthe cCOLDSPA cmnemonic cstand cfor? c- cCORRECT cANS✔✔Character
Onset
Location
Duration
Severity
Pattern
Associated cfactors
The cnurse cperforms ca ccomprehensive cassessment con ca cnew cclient. cWhat cis cthe cnext caction c
cANS✔✔validate cproblems cand cdetermine cclient's cgoals
During cwhich cof cthe cfollowing cphases cof cthe cinterview cprocess cwill cthe cnurse cassure cthe cclien
cclient cdiscusses cwith cthe cnurse cwill cbe ckept cconfidential? c- cCORRECT cANS✔✔introductory
The cnurse cselects ca ctuning cfork cto cuse cwhen cassessing ca cclient. cWhich cbody csystem cis cthe c
cCORRECT cANS✔✔peripheral cvascular
What cis cthe cprinciple cof cpercussion? c- cCORRECT cANS✔✔To ccreate cvibration cin ca cbody cwall
A cnurse cis cpreparing cto cperform ca cphysical cexamination cof can cobese cclient cwho cis cbeginning
cThe cphysician cwould clike cto cestablish ca cbaseline cpercent cbody cfat cmeasurement cfor cthe cclien
cin creducing cbody cfat ccan cbe ctracked cover ctime. cWhich cpiece cof cequipment cshould cthe cnurse
cpurpose? c- cCORRECT cANS✔✔skinfold ccalipers