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Terms in this set (14)Which of these statements is true regarding the recording of data from the history and physical examination? Answer: *The data from the history and physical examination should be recorded as soon after the event as possible. From a legal perspective, if it is not documented, it was not done. Brief notes should be taken during the examination. When documenting, the nurse should use short clear phrases and should avoid redundant phrases and descriptions. All of the following is required equipment you would use for a complete head to toe assessment except: Answer: *The Hoyer lift would not be part of the required equipment needed for a head to toe assessment. The other 3 (Tuning fork, platform scale with height attachment, and stethoscope with bell and diaphragm end pieces) would be needed. The nurse is completing a head to toe assessment on an aging adult. Which of the following could the nurse do to conserve patient energy? Answer: *You do not want to rush through the examination, and if possible you can break the exam into a few visits. You do want to maintain a confident manner but this would not help to conserve the patient's energy. A
patient presents to the ED in acute respiratory distress. How should the nurse proceed with gathering the health history? Answer: *Initially it may be necessary to just examine the body areas appropriate to the problem, collecting a mini database and return to finish the complete assessment after the initial stress is resolved. After the health history has been obtained and before beginning the physical examination, the nurse should first ask the patient to: Answer: *The nurse should have the patient empty the bladder before beginning the physical part of the head to toe assessment to increase comfort and to collect a specimen for testing if needed. Which of the following is a true statement regarding the bedside assessment of the hospitalized patient? Answer: *The hospitalized patient does not require a complete head-to-toe examination every 24 hrs. They do require a specialized bedside assessment based on hospital policy (at least every shift Q12 hrs, if not more often) What should the nurse assess before entering the patient's room on morning rounds?
Answer: *On the way to the room, the nurse should assess the presence of conditions such as isolation precautions, latex allergies, or fall precautions. A patient has been in the hospital for 3 days. The nurse performs a bedside assessment in the morning. In the afternoon the patient comes back to the floor after an operation. Which type of assessment would the nurse want
to perform? Answer: *A focused or problem centered assessment is for a limited or short-term problem. You will collect a mini database that is smaller and more targeted than the complete database. It concerns mainly one problem, one cue complex or one body system. A
new graduate nurse asks a more experienced nurse why the initial assessment is done in the early part of the day. The nurse would respond: Answer: *The initial bedside assessment is performed once a shift, preferably in the early part of the day to establish a baseline. You will want to have a baseline assessment of your patient so that changes can be detected early. Which of the following ways does the electronic health record (EHR) increase patient safety? Answer: *The EHR increases patient safety by decreasing transcription and prescribing errors, it notifies providers of medication interactions or dosage adjustments, and reduces errors when dispensing medication to patients through barcode scanners. The provider does not have to be physically present on the floor to input orders.
What is an advantage for using SBAR during staff communication? Answer: *SBAR is used at health care facilities all over the country to improve verbal communication and reduce medical errors. It will help keep your message concise and focused on the immediate problem yet give your colleague enough information to grasp the current situation and make a decision. The nurse is giving report to the next shift and is using the situation, background, assessment, recommendation (SBAR) framework for communication. Which of these statements reflects the Background portion of the report? Answer: *The B stands for background. You will not want to recite the full patient history but will want to give pertinent data to the problem such as admitting diagnosis, when they were admitted, and appropriate immediate assessment data such as vital signs, change in mental status etc. At the beginning of rounds, when the nurse enters the room, what should the nurse do first? Answer: *The first thing the nurse wants to do is introduce themselves so the patient is aware who they are and why they are coming into the room. They will want to make eye contact so the patient feels respected and that the nurse is interested in what they have to say which helps to establish trust.
Which of the following is true regarding the re-assessment of a hospitalized patient? Answer: *The reassessment would be performed whenever the nurse sees a change in the patient from the baseline assessment. Sets with similar termsFoundations of Nursing Chapters 26 & 2750 terms megan_gundy Question from PPT & EOC (T4)72 terms glasgow284 HA Chapter 132 terms megan_gundy Sets found in the same folderHA Week 11 Review Questions (Male and Female GU)17 terms maggie_creamer Health Assessment Review Questions, Week 5 Exam 217 terms zmvandiver Health Assessment Review Questions, Week 6, Exam 214 terms zmvandiver Health Assessment Review Questions, Week 7, Exam 224 terms zmvandiver Other sets by this creatorHA Week 10 Review Questions (Neurological)27 terms maggie_creamer HA Week 9 Review Questions (Ear, Nose, Mouth, Thro…24 terms maggie_creamer Other Quizlet setsVolume 1-2 4y05138 terms Lauren_Lewis34 NRSG 225 Clicker Questions (Exam 1)12 terms brinkmeg8 Chapter 15 Review Questions15 terms madelyn_dawson Health Assessment Wk 12: Complete Health Assessment14 terms Alba_IselaPLUS Related questionsQUESTION from a policy perspective, which proposal for reducing interest rates for short-term loans used by urban people is based on idea of changing costs? 15 answers QUESTION Mr.Lindner represents the Clybourne Park Welcoming Committee. 12 answers QUESTION What is illustrated by the amino acid sequence of the p53 protein in Figure 23.13? 15 answers QUESTION The HR manager discovers that the financial analyst has exaggerated the severity of the investment banker's error in an attempt to have the investment banker transferred to another office. Which action should the HR manager take? 2 answers What should the nurse determine While assessing the neurologic status of a patient?Nurses begin assessing a patient's overall neurological status by observing their general appearance, posture, ability to walk, and personal hygiene in the first few minutes of nurse-patient interaction.
What is true about recording data from the health history and physical examination?*The data from the history and physical examination should be recorded as soon after the event as possible. From a legal perspective, if it is not documented, it was not done. Brief notes should be taken during the examination.
Which actions are included in the assessment of the patient's hygiene?While assessing a patient's personal hygiene, the nurse would assess whether the patient is able to shave, apply makeup, and comb hair properly. The nurse would assess the patient's body weight while assessing the nutritional status.
In which component of the physical examination would the nurse document Normocephalic as an assessment finding?The nurse palpates the popliteal pulse while examining the lower limbs. In which component of the physical examination would the nurse document normocephalic as an assessment finding? Normocephalic indicates that the patient has a normal-sized head.
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Which statements are true regarding the situation Background assessment and Recommendation framework
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