The nurse needs to complete a health assessment on the client. Rank the nursing actions in order
1. Reveal important client information.
2. Obtain vital signs, height, and weight.
3. Prepare client and explains procedure.
4. Check the client for examination priorities.
4, 3, 2, 1
4. A general survey begins by reviewing client information and determining priorities for the examination. If the client is having or is being admitted for acute distress, the nurse examines the affected system(s) first. Acute problems to establish as priority assessments include chest pain, difficulty breathing, pain, and anxiety.
3. After managing any acute distress, the nurse prepares the client for the survey and physical examination with explanations and provisions for privacy.
2. After client preparation, the nurse measures vital signs, height, weight, general behavior, and appearance to provide information about the illness, client hygiene, and other general data the nurse uses to conduct the health assessment.
1. The nurse gathers the data compiled from the health assessment into meaningful groups and uses the conclusions to plan nursing care.
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