When performing an initial assessment on a patient, which piece of information is of highest priority?

date of previous diagnostic tests

where the patient is living

treatment for previous illnesses

any allergies to medications

Answer and Explanation

The Correct Answer is D

A.   The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B.   Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C.   Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D.   Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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Correct Answer is A

Explanation

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.

A. 62 beats/min. B. 59 beats/min. C. 64 beats/min. D. 60 beats/min.

Correct Answer is B

Explanation

A. Bradycardia is defined as a heart rate lower than 60 beats per minute. Therefore, 62 beats per minute is not bradycardic.
B. 59 beats per minute would be considered bradycardic, as it is below 60.
C. 64 beats per minute is within normal limits.
D. 60 beats per minute is on the threshold of bradycardia but typically is still within normal limits for some individuals.

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When performing an initial assessment on a patient, which piece of information is of highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:

Correct Answer is A

Explanation

The nurse would record a pulse as bradycardic if the rate were:

Correct Answer is B

Explanation

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