Chapter 16 | Reassessment Flashcards
• Observing trends during reassessment • Reassessment for stable and for unstable patients
Explain:
frequency of patient reassessment
(time interval between reassessing patient)
- high priority (unstable): every 5 minutes
- low priority (stable): every 15 minutes
Explain:
purpose of reassessment
determining trends in patient condition
trending vitals
Define:
trending vital signs
comparison between initial vital signs and most contemporary vital signs
Fill in the blank:
Reassessment is the [BLANK] step in your patient assessment.
Reassessment is the last step in your patient assessment.
Fill in the blank:
[BLANK] is the last step in your patient assessment.
Reassessment is the last step in your patient assessment.
List:
3 steps of reassessment
- repeat primary assessment
- repeat secondary assessment (vital signs and history/physical exam)
- check interventions
Answer:
You are transporting a 30-year-old male who has been shot in the chest. He is suffering from a sucking chest wound and has a decreased level of consciousness.
How often should you perform a reassessment?
every 5 minutes
this is a critical patient
Answer:
You are transporting a patient whom you are treating for chest pain. You have completed all of your assessments and are writing down some of his personal information such as his address and phone number. As the patient is speaking, you notice that he is having increasing difficulty breathing.
What should you do?
immediately repeat your primary assessment
Answer:
While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding.
What should you do next?
immediately repeat your primary assessment
Choose:
You are caring for a woman who sustained a head injury as a result of a domestic dispute. You suspect she has a closed head injury since she cannot remember what happened and one of her pupils is slightly larger than the other. You have been monitoring her vital signs every 5 minutes and you see that her blood pressure is rising and her pulse is dropping.
What is this part of the reassessment called?
A: crisis management
B: modified secondary assessment
C: intervention check
D: trending
D
Choose:
Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a 10-point scale. As part of your care, you assist him with taking his nitroglycerin per medical direction.
After waiting a few minutes for the medication to take effect, what should you do?
A: lay the head of the stretcher down
B: administer another dose of nitroglycerin
C: ask him what his pain is like now
D: call medical direction to administer another dose
C
