It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:
the beginning of each shift.
admission to the unit.
discharge.
the patient's wakening in the morning.
The Correct Answer is A
A. Performing a quick focused assessment at the beginning of each shift allows the nurse to identify any immediate needs or changes in the patient's condition, ensuring timely and appropriate care. This practice helps in maintaining continuity of care and promptly addressing any issues that may arise during the shift.
B. While a comprehensive assessment is typically performed upon admission to the unit, a quick focused assessment is not specifically required at this time. The initial comprehensive assessment will cover all necessary information.
C. At discharge, the focus is on providing discharge instructions and ensuring the patient understands their care plan after leaving the facility. A quick focused assessment is not typically performed at this time.
D. While it is important to check on the patient in the morning, a quick focused assessment is not specifically required at this time. The beginning of each shift is a more critical time to perform this assessment to ensure continuity of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Pulse pressure is calculated as the difference between systolic and diastolic blood pressure. 170 - 90 = 80 mm Hg, so the pulse pressure would be 80mmHg.
Correct Answer is B
Explanation
A. Dehydration causes a drop in circulating blood volume, which can lead to lower blood pressure, not muffled sounds.
B. When a person is dehydrated, there is less fluid in the bloodstream, which typically causes a decrease in blood pressure.
C. Blood pressure is likely to decrease in dehydration due to reduced circulating volume, rather than remain unchanged.
D. Dehydration will not increase blood pressure; it typically causes a compensatory decrease in blood pressure.
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