A client is brought to the emergency department with injuries sustained from a motor vehicle accident. The nurse will conduct which of the following types of health assessments?
1. Focused
2. Comprehensive
3. Emergency
4. Follow-up
3
An emergency assessment is a rapid assessment of a client who is experiencing a life-threatening problem or crisis. A focused assessment is limited in scope to focus on a particular need or health care problem or potential health care risk. A comprehensive assessment is usually completed on admission to a health care agency or first visit to a health care provider. A follow-up assessment is also considered an ongoing assessment that includes systematic monitoring and observation related to specific health problems or risk factors.
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The nurse assesses the postpartum client and finds the client at risk for postpartum psychosis secondary to a history of previous postpartum psychosis and obsessive-type personality. The nurse will:
1. Consult Social Services and child protection agencies. 2. Teach family members signs and symptoms to watch for and report. 3. Assess the client frequently for signs and symptoms of psychosis. 4. Request and administer antipsychotic medications.
A nurse working in an outpatient OB-GYN clinic is asked to assume care coordination for the clinic's adolescent clients. Which skills will the nurse need to perform this work?
A) Critical thinking B) Force field analysis C) Relaxation training D) Accounting
A carrier state does not exist for which pattern?
a. Autosomal dominant c. X-linked recessive b. Autosomal recessive d. Multifactorial inhe-ritance
While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?
a. Risk for infection related to release of meconium b. Risk for injury related to high-risk birth interventions, such as amino infusion c. Risk for aspiration related to retained secretions d. Risk for thermoregulation because of high-risk labor status