NURS 251 FINAL TEST 100% VERIFIED SOLUTIONS 2023/2024

NURS 251 FINAL TEST 100% VERIFIED SOLUTIONS 2023/2024 After completing an initial assessment of the patient, the nurse has charted that his respirations are eupneic and his pulse is 58 bpm. What type of assessment data is this? A. Objective B. Reflective C. Subjective D. Introspective - ANSWER A. objective data that the patient says, signs and symptoms reported by the patient during the assessment - ANSWER subjective data data that the nurse observes - ANSWER objective data name, address, phone #, age and birthdate, birthplace, gender, relationship status, race, ethnic status, occupation, primary language - ANSWER biographic data housekeeping , shopping, cooking, laundry, telephone, finances, nutrition, social relationships - ANSWER Instrumental ADLs COLDSPA - ANSWER C- character of symptom or condition (throbbing pain, stabbing, achy pain) O- onset (when did it begin: better? Worse? same?) L-location (where and does it radiate?) D- duration S- severity (on a scale of 1-10?) P-pattern (what makes it better? worse? A- associated factors (other associated symptoms? Effect on leisure or exercise? rigid box that protects brain - ANSWER skull enables head rotation and flexion and divides each side of neck into anterior and posterior triangles - ANSWER sternomastoid muscles move shoulders and extend and turn head - ANSWER trapezius hormones that stimulate rate of cellular metabolism - ANSWER Thyroxine (T4) and triiodothyronine (T3) air filled pockets within cranium - ANSWER paranasal sinuses 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? A. Patient with postoperative pain B. Newly diagnosed patient with diabetes who needs diabetic teaching C. Individual with small laceration on sole of foot D. Individual with shortness of breath and respiratory distress - ANSWER D. Individual with shortness of breath and respiratory distress