In what patient situations would a partial ongoing assessment be best performed?
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.
Preparing the client for discharge.
The Correct Answer is B
Choice A rationale
On initial evaluation by the home health nurse, a comprehensive assessment is typically performed to gather baseline data. This initial assessment is thorough and includes a detailed history and physical examination to understand the patient’s overall health status. It is not a partial ongoing assessment, which is more focused and conducted after the initial comprehensive assessment to monitor specific issues or changes in the patient’s condition.
Choice B rationale
Reassessing a client for pain after giving pain medication is an example of a partial ongoing assessment. This type of assessment is focused on evaluating the effectiveness of an intervention, such as pain medication, and determining if further action is needed. It involves collecting specific data related to the patient’s pain levels and response to treatment, rather than a comprehensive evaluation of their overall health.
Choice C rationale
Checking skin assessment on a patient with a medical device in place is also an example of a partial ongoing assessment. This focused assessment is conducted to monitor the condition of the skin around the medical device, looking for signs of pressure ulcers, infection, or other complications. It is not a comprehensive assessment but rather a targeted evaluation of a specific area of concern.
Choice D rationale
Preparing the client for discharge involves a comprehensive assessment to ensure that the patient is ready to leave the healthcare facility and can manage their care at home. This assessment includes evaluating the patient’s physical, psychological, and social needs, as well as their ability to perform activities of daily living. It is not a partial ongoing assessment, which is more focused and conducted during the course of care to monitor specific issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
Step 1 is: Calculate the number of tablets needed. 40 mg ÷ 10 mg/tablet = 4 tablets
The nurse should administer 4 tablets per dose.
Correct Answer is A
Explanation
Choice A rationale
Providing information is the communication technique used by the nurse in this scenario. The nurse is giving the patient information about the benefits of taking pain medication before physical therapy, which helps the patient understand and manage their pain effectively.
Choice B rationale
Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing in this scenario. The nurse is providing information, not confronting the patient.
Choice C rationale
Summarizing involves restating the main points of a conversation to ensure understanding. While the nurse is providing information, they are not summarizing the conversation.
Choice D rationale
Probing involves asking questions to gain more information. The nurse is not asking questions in this scenario but is providing information to the patient.
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