Week 11 - assessment of hospitalized adult Flashcards
Shift assessment
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.
Focused assessment
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.
comprehensive assessment
more detailed and complete than shift and focused assessments.
the five rights of delegation
(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
The shift assessment focuses on
immediate needs and potential complications
Hospitalized patient assessment includes
assessment of the equipment used in treatment
braden scale
risk assessment for skin breakdown
CAUTI
catheter associated UTI
which of the phases of the nursing process is most foundational for delivery of care?
assessment
Pain should be reassessed how often after an intervention?
every 30 minutes
vital signs are routinely checked every
4-8 hours depending on institution policy
The most common format for the comprehensive admitting assessment in the hospitalized adult is the
head-to-toe assessment