A client has been admitted with a history of dizzy spells and nausea. The client's blood pressure is highly variable with an elevated temperature on 3 successive days
The physician has ordered vital-sign monitoring, including temperature, heart rate, respirations, and blood pressure every 4 hours. What type of assessment is this type of monitoring called? a. comprehensive c. ongoing
b. focused d. primary
C
Ongoing assessment is done to confirm the validity of initial assessment data or to expand the original database; it includes systematic monitoring and observation of identified health problems, response to a plan of care that has been implemented, and identification of any new problems. Data collected during assessment are either subjective (obtained from the client's perspective, including feelings, perceptions, and concerns) or objective (observable and measurable). The client's health history (a review of functional health patterns prior to the current contact with the health care provider) comprises subjective data obtained primarily by interview. Objective data are obtained through standard assessment techniques performed during the client's physical examination and from any laboratory and diagnostic testing.
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A) Reduce his level of physical activity in order to conserve energy. B) Try to eat high-calorie foods and eat more frequently during the day. C) Avoid eating breakfast so that he can eat more later in the day. D) Build time into his schedule each day for some exercise.
A nurse is caring for a patient who is receiving penicillin. The nurse would assess for which of the following as a common adverse reaction?
A) Inflammation of the tongue and mouth B) Impaired oral mucous membranes C) Severe hypotension D) Sudden loss of consciousness
An older patient with a change in mental status is clenching the jaw closed to avoid taking a prescribed oral medication. The patient is demonstrating the motor function of which cranial nerve?
A) Trigeminal B) Facial C) Glossopharyngeal D) Vagus
What would a patient from Norway use to colds? Select all that apply
1. Hot milk sprinkled with ginger 2. Shot of whiskey 3. Glass of warm wine 4. Hot peppermint tea