The educator has completed discussing the topic of rapid assessment with the new nursing staff. Which statement by a nurse indicates that further education is required?
A. "After I perform the rapid assessments on the clients I've been assigned, I can go back and get more information during my routine assessments."
B. "The rapid assessment should last approximately 10 minutes."
C. "The rapid assessment will help me establish baseline data about the client."
D. "I should perform a rapid assessment for all of my assigned clients at the beginning of the shift to help me prioritize care."
Answer: B
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A. Mental well-being. B. Both disease and wellness. C. Medical cure of disease. D. A positive mental attitude.
The nurse is assisting in the preparation of a pregnant client in labor for intrauterine resuscitation. For which fetal finding is this intervention indicated? Select all that apply
1. Prolonged decelerations 2. Persistent late decelerations 3. Last fetal movement 5 minutes ago 4. Fetal heart rate 140 beats per minute 5. Persistent and severe variable decelerations
While inspecting the skin of an older adult client, the nurse notes multiple small, flat, reddish-purple macules. The nurse documents this finding as which of the following?
A) Purpura B) Petechiae C) Ecchymosis D) Cherry angioma
In providing a history, the client describes, out of order, several events that occurred in different decades of his life. To understand the timeline of events, the nurse uses what technique?
a. Ordering the data to clarify the sequence of events b. Drawing conclusions from data given c. Asking the client to elaborate about his history d. Asking the client to repeat his history