The nurse is explaining to the client the need to do an assessment at the beginning of the shift. This type of assessment involves obtaining which type of information?
1. Information regarding the client's overall assessment
2. Information of a specific medical condition
3. Information specific to the client's current condition
4. Information regarding past medical history
3
Rationale 1: Information regarding the client's overall assessment would be a head-to-toe assessment and is a basic assessment.
Rationale 2: Information of a specific medical condition pertains to only one specific system.
Rationale 3: Information specific to the client's current condition is a focused assessment.
Rationale 4: Information regarding past medical history is data that is gathered as part of a head-to-toe assessment.
Global Rationale: Information specific to the client's current condition is a focused assessment. Information regarding the client's overall assessment would be a head-to-toe assessment and is a basic assessment. Information of a specific medical condition pertains to only one specific system. Information regarding past medical history is data that is gathered as part of a head-to-toe assessment.
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A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:
a. Chalazion. b. Hordeolum (stye). c. Dacryocystitis. d. Blepharitis.
The nurse is describing the distribution and configuration of lesions. Which of the following can be used for this description? (Select all that apply.)
1. Iris 2. Annular 3. Linear 4. Keratosis 5. Wheal 6. Bullae
A client with recurrent headaches has been told by the physician that the cause is likely psychosomatic
The client reports this conversation to the nurse and says, "That just can't be true! My head hurts so bad sometimes that it makes me sick to my stomach." The nurse's best response is: A) To give the client some privacy and time to calm down B) To say nothing and sit quietly with the client C) To say, "the pain in your head is very real" D) To say, "well, that's not what your doctor thinks"
Pain in the chest wall muscles aggravated by breathing is called pleur_____.
Fill in the blank(s) with correct word.