The nurse is interviewing a client whose chief complaint is abdominal pain. What information requested by the nurse is part of a focus assessment?
A) "Have you had any problems with your breathing lately?"
B) "How long have you had this pain, and what does the pain feel like? Can you rate the pain on a scale of 0 to 10?"
C) "Do you smoke? If so, how many packs per day do you smoke?"
D) "Have you had any swelling in your feet or ankles?
B
Feedback:
Asking for more detailed information about one body system or problem is called a focus assessment because it adds depth to the original data. For example, a client may reveal that he or she has experienced abdominal pain for the past several weeks. Further questioning then addresses what causes the pain, how long it lasts, what the quality of the pain is, and what makes it better or worse. The other answers relate to questions that do not have anything to do with the patient's chief complaint.
You might also like to view...
When assessing a child admitted with intussusception, the nurse discovers the hallmark sign of intussusception, which is:
a. mucus-like stools. b. currant jelly–like stools. c. tarry, black stools. d. green, soft stools.
What is the earliest sign of shock that the nurse would monitor for during a routine assessment?
1. Complaints of nausea 2. Complaints of thirst 3. Restlessness 4. Pale skin
Ordered: Keflex 0.5 g PO stat. a. What is the generic name of this medication? b. What is the concentration of this medication? c. Write the appropriate conversion formula: How many capsules will you give?
d. Estimated dose: (Move the decimal point to estimate.) e. Verify with a DA-style equation: f. Evaluation:
In 2001 there several cases of Anthrax. Case definitions exist in the literature and in government documents. A clinically compatible case without isolation of the pathogen is known as a
1. Suspected case 2. Confirmed case 3. Prolonged case 4. Identified case