after completing an initial assessment of a patien
a patient tells the nurse that he is very nervous
the patients record laboratory studies objective
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Rasmussen Health Assessment Exam 1
With 100%Correct And Verified Answers
After completing an initial assessment of a patient, the nurse has charted that his
respiration's are eupneic and his pulse is 58 beats per minute. These types of data
would be - Correct Answer-Objective
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot" These
types of data would be - Correct Answer-Subjective
The patients record, laboratory studies, objective data, and subjective data combine to
form the - Correct Answer-Database
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.
The nurses next action should be to - Correct Answer-Validate the data by asking a
coworker to listen to the breath sounds.
The nurse is reviewing information about EBP. Which statement best reflects EBP? -
Correct Answer-EBP emphasizes the use of best evidence with the clinician's
experience.
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first level priority problem? - Correct Answer-Individual with
shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second level
priority include which of these aspect? - Correct Answer-Abnormal lab values
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the _______________ diagnosis. - Correct Answer-Nursing
The nursing process is a sequential method of problem solving the nurses use and
includes which steps? - Correct Answer-Assessment, diagnosis, outcome identification,
planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems. - Correct
Answer-Breathing, pain, sleep.
What step of the nursing process includes data collection by health history, physical
exam, and interview - Correct Answer-Assessment
, When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these - Correct Answer-Holistic health views the mind, body,
and spirit as interdependent
The nurse is performing a physical assessment on a newly admitted patient. An
example of objective information obtained during the physical assessment includes -
Correct Answer-2-5 cm scar on the right lower forearm
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this setting -
Correct Answer-A complete health data base because of the nurses primary
responsibility for monitoring the patients health
Which situation is most appropriate during which the nurse performs a focused of
problem- centered history - Correct Answer-Patient in an outpatient clinic has cold and
flu symptoms
A patient is at the clinic to have her blood pressure checked. She has been coming to
the clinic weekly since she changed medication 2 months ago. The nurse should -
Correct Answer-Collect a follow up data vase and the check her blood pressure
A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with data collection - Correct Answer-
Simultaneously ask history questions while performing exam and initiating life saving
measures
a 42 year old patient of Asian descent is being seen at the clinic for an initial exam. The
nurse knows that including cultural information in his health assessment is important to -
Correct Answer-Provide culturally sensitive and appropriate care
the nurse has implemented several planned interventions to address the nursing
diagnosis of acute pain. Which would be the next step - Correct Answer-Evaluate the
individuals condition, and compare actual outcomes with expected outcomes
Each culture has its own healers who usually - Correct Answer-cost less than traditional
biomedical providers
when evaluating health history, the nurse determines that the patient subscribes to the
hot/cold theory of health - Correct Answer-the humors are balanced
on the basis of median age - Correct Answer-asian population tends to be younger
spirituality is defined as - Correct Answer-a personal effort to find meaning and purpose
in life
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