In what patient situations would a focused assessment be best to perform?
preparing the client for discharge
On initial evaluation by the home health nurse
reassessing a client for pain after giving pain medication
checking skin assessment on a patient with a medical device in place
The Correct Answer is C
A. Preparing the client for discharge: Discharge preparation typically requires a comprehensive assessment to ensure all aspects of the client’s health and care needs are addressed.
B. On initial evaluation by the home health nurse: The initial evaluation requires a comprehensive assessment to establish a baseline for the client's overall condition and care plan.
C. Reassessing a client for pain after giving pain medication: A focused assessment targets a specific problem area, such as evaluating pain levels after an intervention.
D. Checking skin assessment on a patient with a medical device in place: This is an example of a focused assessment, concentrating on the skin integrity around the medical device.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.
C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.
Correct Answer is C
Explanation
A. Right Task: The right task refers to ensuring the task is appropriate to delegate. This situation is more about monitoring the task.
B. Right Communication: The right communication involves clear, concise instructions. This scenario involves oversight rather than instruction.
C. Right Supervision: Right supervision involves monitoring the task and providing guidance and feedback. Observing the UAP and ensuring the correct cuff size is being used demonstrates appropriate supervision.
D. Right Circumstance: The right circumstance refers to ensuring the client’s condition is appropriate for delegation. This situation is about supervising the task.
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