Which action by the nurse is the final step in a complete assessment?
a. Forming diagnostic conclusions
b. Documentation of findings
c. Auscultation
d. Palpation
B
Communication of assessment findings, either verbally or through documentation, is the last step of a complete assessment. The timely, thorough, and accurate communication of facts is neces-sary to ensure continuity and appropriateness of patient care. The techniques of a physical ex-amination include inspection, palpation, percussion, auscultation, and smell. After reviewing and validating a patient's assessment, the next step of the nursing process is to form diagnostic con-clusions.
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A) Primary survey B) Resuscitation C) Secondary survey D) Definitive care
During the active phase of labor, the fetal heart rate of a low-risk client should be assessed every:
a. 15 minutes. b. 30 minutes. c. 45 minutes. d. 1 hour.
A student nurse is helping with the initial assessment of an 85-year-old patient. What can the student do to ensure that shearing forces are avoided? (Mark all that apply.)
A) Puts on foam boots three or more times a day. B) Inspect and provide skin care q shift. C) Palpate the area of the traction tapes daily. D) Provides back care at least q 2 hours. E) Give massage q shift.
The nurse is preparing to apply a transdermal analgesic patch to a patient. In what order should the nurse administer this medication? Place in order the steps of the process.Choice 1. Choose a new site and cleanse and dry an upper torso location.Choice 2. Clip chest hair and open the medication package.Choice 3. Keep the patch intact for 72 hours.Choice 4. Place the patch, making sure all edges are in contact with the skin.
Fill in the blank(s) with the appropriate word(s).