A patient is seen in the emergency department with severe abdominal pain and hypotension. Which type of assessment should the nurse do at this time?
a. Focused assessment
b. Subjective assessment
c. Emergency assessment
d. Comprehensive assessment
ANS: C
Because the patient is hemodynamically unstable, an emergency assessment is needed. Comprehensive and focused assessments may be needed after the patient is stabilized. Subjective information is needed, but objective data such as vital signs are essential for the unstable patient.
You might also like to view...
A patient arrives in the ICU following surgery to her eyes. She received opioids during the surgery. What complication is this patient most likely to experience, and what is the correct intervention for the nurse to perform?
A) Postoperative nausea and vomiting; perform the stir-up regimen B) Hypothermia; cover the patient with warm blankets C) Hypothermia; give the patient a cold IV solution D) Postoperative nausea and vomiting; position the patient on her side, with head and neck extended
A checkout clerk at a grocery store develops numbness, pain, and impaired mobility of the fingers of the dominant left hand. The nurse should suspect the client has developed which of these conditions?
a. carpal tunnel syndrome c. osteoarthritis b. bursitis d. osteoporosis
What is the major difference between fresh-frozen plasma (FFP) and cryoprecipitate (CPP)?
a. FFP contains more albumin. b. FFP has a longer infusion time. c. FFP contains no platelets. d. FFP has a very high probability of causing an allergic reaction.
A 2-hour-old newborn delivered by cesarean section at 38 weeks with clear amniotic fluid has a respiratory rate of 80 with grunting and nasal flaring. The mother experienced preeclampsia while pregnant
What is the most likely cause of this infant's condition? 1. Prematurity of the neonate 2. Respiratory distress syndrome 3. Meconium aspiration syndrome 4. Transient tachypnea of the newborn