FOCUSED ASSESSMENT SKIN

TERMS IN THIS SET (14) What additional information would assist Nurse Craig 1. Which of the following actions should the nurse perform first?Ĭ) Consult clinical resources explaining the client's diagnosis.ĭ) Validate information with the client. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform a comprehensive health assessment. What principle should the nurse apply when using the nursing process?Ī) Each step is independent of the others.Ĭ) It is used primarily in acute care settings.ĭ) It involves independent nursing actions. The nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the client's care. Which member of the care team would most likely be responsible for collecting the subjective data on the client during the initial comprehensive assessment?ĭ) Diagnostic technician B 3. A client has presented to the emergency department (ED) with complaints of abdominal pain. What is the overall purpose of assessment for this client?ĭ) Making clinical judgments D 2. TERMS IN THIS SET (30) A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy (gall bladder removal). Jordan at the time rapid focused assessment +11 more terms which of the following assessments is appropriate for Mrs. Jordan is restless and having increased diff. Jordan, which of the following actions should the nurse take apply oxygen per nasal cannula at 2 mL/min Nurse Craig observes that Mrs. Other-Normal level of activity, history of falls, and diet at home Nurse Craig is assessing Mrs. Medical history-Pre-existing conditions, allergies, and home medications and adherence.ġ0. Individuals who should be contacted about hospitalization.ĩ. Social status-Any significant others that are with her. Blood glucose-Results of blood glucose and time obtained.Ĩ. Vital signs-Range of vital signs, including O2 saturation.Current vital signs.ħ. Location of IV site and size of catheter.Ħ. IV-The type and amount of IV solution given since arrival in the emergency department.The type and rate of IV solution that is currently infusing. Output-Amount, color and characteristic of urine.ĥ. Probable discharge in next 24 hr-Is there a discharge order or plan?Ĥ. Is this agitation new or getting worse? How do you know she is tired? Did she tell you that or is she sleeping on and off?ģ. Agitation-The client's baseline level of orientation. Levofloxacin (Levaquin)-How much was given and when is the next dose?2. Jordan? List 5 additional pieces of information that should have been included in the report 1.

FOCUSED ASSESSMENT SKIN

Which of the following actions should the nurse take next? assess skin and nail beds for hypoxia What additional information would assist Nurse Craig in preparing to care forMrs. TERMS IN THIS SET (15) OK I THOUGHT THIS WAS ON THERE BUT WHEN I RETOOK IT THIS QUESTION WASN'T ASKED?

Focused assessment