A patient was admitted with a complaint of abdominal pain. Later, the nurse observed the patient demonstrating dyspnea. What type of assessment does this change in condition require?

a. Individualized
b. Focused
c. Specialized
d. Systematic


ANS: B
When the nurse observes a change in the patient's condition, the assessment is focused.

Nursing

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You are admitting an elderly woman who is accompanied by her husband. The husband wants to know where the information you are obtaining is going to be kept and you follow up by describing the system of electronic health records

The husband states, "I sure am not comfortable with that. It is too easy for someone to break into computer records these days." What is your best response? A) "The Institute of Medicine has called for the implementation of the computerized health record so all hospitals are doing it." B) "We've been doing this for several years with good success, so I can assure you that our records are very safe." C) "This hospital is as concerned as you are about keeping our patients' records private. So we take special precautions to make sure no one can break into our patients' medical records." D) "Your wife's records will be safe, because only people who work in the hospital have the credentials to access them."

Nursing

The nurse cares for a client with chronic pyelonephritis. What is the nurse's understanding of the most frequent cause of this condition?

A) Vesicoureteral reflux B) Papillary necrosis C) Nephrolithiasis D) Tubulointerstitial injury

Nursing

Susan, a 9-year-old girl, suddenly loses interest in her piano lessons, friends, and school work. This is most likely a sign of:

A) Attention deficit disorder (ADD). B) Learning disability (LD). C) Stress. D) Osgood-Schlatter disease.

Nursing

Which example of best practice review would likely be assigned a Level I?

1. Information from the only existing study of an intervention. 2. Information from review of several randomized controlled trials of an intervention. 3. Information from the opinion of a person widely recognized as an expert in the use of the intervention. 4. Information from a non-randomized well-designed controlled trial of the intervention.

Nursing