Week 11 - assessment of hospitalized adult Flashcards

1
Q

Shift assessment

A

performed at the beginning of the shift and includes an abbreviated examination, with emphasis on risk areas, such as auscultation of lungs and abdomen and assessment of circulation and level of consciousness.

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2
Q

Focused assessment

A

concentrates on assessing for anticipated problems that can result from hospitalization, such as pneumonia, skin breakdown, falls, or infections, as well as those specific to the patient’s problems, such as surgery, trauma, or specific medical condition.

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3
Q

comprehensive assessment

A

more detailed and complete than shift and focused assessments.

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4
Q

the five rights of delegation

A

(1) the right task, (2) under the right circumstances, (3) to the right per- son, (4) with the right directions and communication, and (5) under the right supervision and evaluation

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5
Q

The shift assessment focuses on

A

immediate needs and potential complications

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6
Q

Hospitalized patient assessment includes

A

assessment of the equipment used in treatment

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7
Q

braden scale

A

risk assessment for skin breakdown

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8
Q

CAUTI

A

catheter associated UTI

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9
Q

which of the phases of the nursing process is most foundational for delivery of care?

A

assessment

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10
Q

Pain should be reassessed how often after an intervention?

A

every 30 minutes

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11
Q

vital signs are routinely checked every

A

4-8 hours depending on institution policy

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12
Q

The most common format for the comprehensive admitting assessment in the hospitalized adult is the

A

head-to-toe assessment

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