QUIZ 2 Flashcards
The nursing _____________ identifies the patient’s health status, strengths, health problems, health risks, and need for nursing care.
HISTORY
When preparing for data collection, identify the ___________ of the nursing assessment first, then gather the appropriate data.
PURPOSE
Most schools of nursing and health care institutions establish a _____________data set that specifies the information that must be collected from every patient.
MINIMUM
A key nursing skill when performing both the nursing history and the physical examination is ____________, the conscious and deliberate use of the five senses to gather data.
OBSERVATION
The purpose of _______________ data is to keep information, an important part of assessment, free from error, bias, and misinterpretation as much as possible.
VALIDATION
After reviewing the database, the nurse discovers that the patient’s vital signs have not been recorded by the nursing assistive personnel (NAP). Which clinical decision should the nurse make?
a-Administer scheduled medications assuming that the NAP would have reported abnormal vital signs.
b-Have the patient transported to the radiology department for a scheduled x-ray, and review vital signs upon return.
c-Ask the NAP to record the patient’s vital signs before administering medications.
d-Omit the vital signs because the patient is presently in no distress.
c-Ask the NAP to record the patient’s vital signs before administering medications.
While interviewing an older female patient of Asian descent, the nurse notices that the patient looks at the ground when answering questions. What should the nurse do?
a-Consider cultural differences during this assessment.
b-Ask the patient to make eye contact to determine her affect.
c- Continue with the interview and document that the patient is depressed.
d-Notify the health care provider to recommend a psychological evaluation.
a-Consider cultural differences during this assessment.
Analgesics, antihistamines, and __________ are the drugs most often implicated in poisoning deaths in young children.
SEDATIVES
The leading cause of injury death for children aged 1 to 4 is ___________, a form of suffocation
DROWNING
Treatment for an uncomplicated concussion includes physical and _____________ rest until a licensed health care provider medically clears a person to return to activity.
COGNITIVE
Domestic violence or battering between two people in a close relationship is known as _________ partner violence.
INTIMATE
The use of ______________ involves the deliberate spread of pathogenic organisms into a community to cause widespread illness, fear, and panic.
BIO-TERRIORISMA
The nurse discovers a patient on the floor. The patient states that he fell out of bed. The nurse assesses the patient and places the patient back in bed. Which action should the nurse take next?
a-Do nothing, no harm has occurred.
b- Notify the health care provider.
c-Complete an incident report.
d-Assess the patient.
b- Notify the health care provider.
A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?
a-55 years old
b-20/20 vision
c- Urinary continence
d- Orthostatic hypotension
d- Orthostatic hypotension
The nurse is assessing a patient for lead poisoning. Which patient is the nurse most likely assessing?
a-Young infant
b-Toddler
c-Preschooler
d-Adolescent
b-Toddler
