Which principles of assessment does the nurse use when working with hospitalized clients? (Select all that apply.)
a. Assess each client at the beginning of each shift.
b. Base the frequency of assessment on client condition.
c. Begin with the most seriously ill client.
d. Record findings as they are assessed, not later.
e. Wait for physician orders to determine the frequency of assessments.
A, B, C, D
These answers are all good principles on which to base nursing assessments. Assessing a client is an independent nursing function. While the physician may write for assessments to be done at a specified minimum time frame, nurses use their own professional judgment to obtain client as-sessments as appropriate.
You might also like to view...
Which viewpoint of an Asian American family will most affect decision making about care?
a. The father is the authority figure. b. The mother is head of the household. c. Women should make their own decisions. d. Emotional communication styles are desirable.
What is the priority nursing diagnosis for the client under general anesthesia during surgery?
A. Acute Pain related to surgical procedure B. Risk for Infection related to surgical wound C. Risk for Impaired Skin Integrity related to prolonged static position D. Disturbed Body Image related to presence of surgical wound or scar
A patient is admitted with left lower thoracic rib injuries. The nurse realizes that which of the following could occur in this patient?
1. increase in red blood cell formation 2. injury to the spleen 3. reduction in T cell formation 4. reduction in filtering of foreign matter in the blood
When working with Campinha-Bacote's model of cultural competence, the nurse is aware that the most important concept inherent in the model is cultural
a. awareness. b. desire. c. encounters. d. skill.