The purpose of the physical assessment is to:
(Select all that apply.)
a. compare the patient's status with previous findings.
b. help the nurse gather additional data.
c. help select the best nursing measures.
d. teach patients about better health promotion.
A, B, C, D
In acute care settings, you perform a brief physical assessment at the beginning of each shift to identify changes in the patient's status for comparison with the previous assessment. After gathering data, the nurse groups significant findings into patterns of data that reveal actual or risk nursing diagnoses. Each abnormal finding directs the nurse to gather additional data. The information is useful in selecting the best nursing measures to manage the patient's health problems. During the physical assessment is an ideal time to offer patient teaching and encourage promotion of health practices, such as breast and genital self-examination.
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When assessing a 2½ year old, you would expect him or her to have
A) 6 deciduous and 12 permanent teeth. B) 12 deciduous teeth. C) 16 deciduous and 2 permanent teeth. D) 20 deciduous teeth.
A patient is to receive 1500 mL of 0.9% sodium chloride intravenously at a rate of 125 mL/hr. The nurse is using microdrip gravity drip tubing. What is the minute flow rate (drops per minute)?
a. 12 gtt/min b. 24 gtt/min c. 125 gtt/min d. 150 gtt/min
Which nursing activities are necessary to provide evidence-based psychiatric nursing care?
a. Obtaining advanced degrees and providing clinical supervision for peers b. Seeking sound opinion-based processes and maintaining self-directed practice c. Attending educational programs and supporting the advanced practice licensure d. Critically synthesizing research findings and applying relevant evidence to practice
Facility staff are not responsible if a confused patient engages in a sexual act with an alert patient.
Answer the following statement true (T) or false (F)