A patient involved in a motor vehicle accident has a high risk of spinal cord injury. At the scene, what is the priority patient assessment?
A) Level of consciousness
B) Respiratory rate
C) Independent mobility
D) Peripheral sensation
B
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The nurse is assessing a client admitted with severe abdominal pain. Which are essential components of a pain assessment?
Select all that apply. 1. Description of the pain. 2. Temperature, pulse, respirations, and blood pressure. 3. Pain intensity rating. 4. Family medical history. 5. Previous pain experience. Correct Answer: 1, 2, 3, 5
A nurse admits an older client with memory loss, confused thinking, and apathy. A psychiatrist suspects a depressive disorder. What is the rationale for performing a mini-mental status exam?
1. To rule out bipolar disorder 2. To rule out schizophrenia 3. To rule out neurocognitive disorder 4. To rule out personality disorder
Which of the following are behavior assessment categories in the Broset Violence Checklist? (Select all that apply.)
1. Confusion 2. Paranoia 3. Boisterousness 4. Panic 5. Irritability
You used a combination of spoken and written information to teach the patient about the medications they will be going home on. What other teaching resource is available to the patient that can provide the latest information once they are home?
1. A direct phone number to an on-call nurse. 2. Website's navigational address. 3. All written informational material in a neat folder. 4. A list of journal articles with direct information.