The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:
systemic
specialized
individualized
Focused
The Correct Answer is D
A. Systemic – A systemic assessment is a head-to-toe examination that evaluates all body systems. The patient’s condition change requires a more targeted approach.
B. Specialized – A specialized assessment refers to an in-depth evaluation of a specific condition, usually performed by a specialist.
C. Individualized – While all assessments should be individualized, this term does not specifically describe the type of assessment needed in response to a sudden change in condition.
D. Focused – A focused assessment is performed when there is a specific change in the patient’s condition, such as new-onset dyspnea. It concentrates on the affected system (e.g., respiratory system) to determine the underlying cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Exudate – Exudate is fluid rich in proteins and cells that escapes from blood vessels due to inflammation or injury.
B. Pus – Pus is a thick, yellowish-white exudate containing dead cells and bacteria, specifically associated with infection.
C. Drainage – Drainage is a general term for any fluid leaving the body, including exudate, blood, or serous fluid.
D. Discharge – Discharge is a broader term referring to any material exiting the body, including normal secretions and infectious material.
Correct Answer is D
Explanation
A. A complete physical examination – While a physical examination is part of data collection, the primary goal of a nursing assessment is to guide nursing care rather than conduct a full medical examination.
B. A medical assessment – Medical assessments are conducted by physicians to diagnose diseases, while nursing assessments focus on holistic patient care.
C. Writing nursing orders – Nursing orders are based on the care plan but do not encompass the entire purpose of the assessment.
D. An individualized plan of care – The primary purpose of a nursing assessment is to collect data to create a care plan tailored to the patient's specific needs.
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