The nurse is developing a nursing care plan for a newly admitted patient. What is the first step the nurse will take in developing this care plan?
a. Health history
b. Review of systems
c. Family history
d. Nursing assessment
ANS: D
The nursing assessment is the critical step in forming the nursing care plan.
You might also like to view...
A young child is admitted to the hospital following a serious injury while on a field trip with his school class. When the parents arrive at the emergency room, the nurse recognizes that the parents have only limited English. The nurse will:
1. Speak slowly and clearly so the parents can understand. 2. Have a translator/interpreter present when the nurse and physician describe the child's condition to the parents. 3. Have a family member who speaks English translate for the family 4. Give the parents a pamphlet written in their primary language that describes the hospital routine.
When assessing the trauma victim, the nurse evaluates the patient for fractured ribs and a scapular fracture. These disorders can lead to
A) subluxation of the shoulder. B) possible pulmonary contusion. C) deep vein thrombosis. D) disseminated intravascular coagulation.
The patient arrives in the postanesthesia care unit after a cardiac catheterization via the left femoral artery to assess the right atrium
Which patient datum is the nurse's priority to assess perfusion of the affected extremity after the procedure? a. Checking the left femoral region for bleeding b. Monitoring patient vital signs every 15 minutes c. Applying direct pressure at the patient's intravenous (IV) site d. Palpating the right pedal pulse for pulsa-tions
Which reflex helps the baby find the nipple?
What will be an ideal response?