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20問 • 2年前

問題一覧

what are the goals for performing a nursing assessment? Select all that apply

determining A clients health status, identifying the clients possible risk factors, Confirming the clients actual problems

What is an example of subjective data?

frowning

Which information about the clients condition should the nurse identify as subjective data?

Size , Location, And color of the wound

which statement identify objective data concerning the client?

my blood pressure is usually 130/82

A nurse is obtaining information about a client's heart condition. Which intervention should the nurse implement when assessing the client?

consider a clients family history of similar aliment

what type of observation is the nurse Macon win assassin, a rash on the clients hand

Visual

which assessment question should a nurse ask as part of the auditory observation of a client?

Is it all right to listen to your heart?

A nurse is observing the progress of an older adult client started on a new medication for dementia. Which is a critical point for the nurse to consider when collecting subjective data about the client and the response to the new medication for dementia?

Assessing the clients body language, and nonverbal gestures

The nurse is preparing for the admission interview of the client. When collecting data, what information should the nurse classify as objective data? Select all that apply.

Vital signs, Laboratory tests, Client is afraid

The nurse is preparing for the admission interview of the client. When collecting data, what information should the nurse classify as subjective data? Select all that apply.

The clients description of their pain, Clients concern about paying for the visit, client reasons for delay, the visit for two days

What information would be included in the documentation of the client's biographical data? Select all that apply.

Name, birthdate, age

What information would be documented in the recent health history of a client? Select all that apply.

hyperactive bowel sound

A nurse is conducting the nursing health interview with a client. Which types of information would be included in the activities of daily living section of the nursing history? Select all that apply.

Typical eating and drinking habit of the client, Exercise routines practiced by the client, sleep patterns of the client

A nurse is analyzing the data collected from a client's medical interview. The client reported a prolonged cough that had lasted for one month, along with chest pain. The nurse reports the matter to the physician who concludes that the problem requires medical treatment. Which conclusion should the nurse make regarding the client's condition?

The client’s problems require A medical diagnosis

A nurse is conducting the admission interview with a sexually active female client who is reporting warts in the vaginal area. What information should the nurse group with the above data to form a data cluster? Select all that apply.

Instances of unprotected sex, Number of sexual partners

A female client arrives at a healthcare facility stating, "I have a really bad case of heartburn." Which question should the nurse ask initially to validate this interpretation?

Do you have a history of digestive problem?

A nurse is conducting the health interview with a client. While interpreting the data obtained from the health interview, which action should the nurse take to provide the most effective interpretation of this data?

Group and similar data from the interview into clusters

Which are examples of objective data ? Select all that apply

Restlessness, Get out of my room and leave me alone, very quiet

While recording the clients condition , What information should the nurse Classify as subjective data? Select all that apply

complaints of nausea, Upset about brother’s death, Clients frame of mind

What is the nurses primary responsibility to the client after collecting assessment data

where can identify Nursing diagnoses And a plan of care