While preparing a client for a procedure, the nurse notes that the client has become unresponsive and respirations have become shallow. What type of assessment should the nurse complete at this time?
1. Initial assessment
2. Problem-focused assessment
3. Emergency assessment
4. Time-lapsed assessment
Correct Answer: 3
Rationale 1: Initial assessment is performed within a specific time after admission to a health care agency.
Rationale 2: Problem-focused assessment is an ongoing process integrated with nursing care.
Rationale 3: An emergency assessment is performed during any physiologic or psychologic crisis of the client to identify life-threatening problems.
Rationale 4: Time-lapsed assessment occurs several months after the initial assessment to compare the client's current status to baseline data previously obtained.
You might also like to view...
The client is going home after day surgery for a hydrocele. What information should the nurse be sure to teach this client?
A. "Report any incisional drainage to the doctor immediately." B. Use a condom during intercourse to prevent incisional infection." C. "Sit to urinate until all swelling is gone and drainage has stopped." D. "Wear the scrotal support device for at least 3 weeks after surgery."
Male patients who should not be prescribed phosphodiesterase type 5 (PDE-5) inhibitors include:
1. Diabetics 2. Those who have had an acute myocardial infarction in the past 6 months 3. Patients who are deaf 4. Patients under age 60 years of age
When preparing to teach a culturally diverse group of childbearing families about hospital birthing options, in order to be culturally competent, the nurse should:
1. Understand that the families have the same values as the nurse. 2. Teach the families how childbearing takes place in the United States. 3. Insist that the clients answer questions instead of their husbands. 4. Learn about the cultural groups that are likely to attend the class.
The coordinated effort of the musculoskeletal and nervous systems in maintaining balance, posture, and body alignment is known as _______________
Fill in the blank(s) with correct word