Which of the following is an example of an ongoing assessment?

a. Taking the patient's temperature 1 hour after giving acetaminophen (Tylenol)
b. Examining the patient's mouth at the time she complains of a sore throat
c. Requesting the patient to rate intensity on a pain scale at the first perception of pain
d. Asking the patient in detail how he will return to his normal exercise activities


A
An ongoing assessment occurs when a previously identified problem is being reassessed—for example, taking an hourly temperature when a patient has a fever. Examining the mouth is a focused assessment to explore the patient's complaint of sore throat. Asking for a pain rating is a focused assessment at the first complaint of pain. A detailed interview about exercise is a special needs assessment; there is no way to know whether it is initial or ongoing.

Nursing

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