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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Waiting 30 minutes is unnecessary unless there is concern about an acute change in the patient's condition.
B. While both readings can be recorded, the difference between arms should be noted, as it can indicate underlying issues such as vascular problems.
C. It is important to retake the blood pressure on both arms to verify accuracy and check for any significant discrepancy.
D. Retaking the pressure on just one arm may miss important information about the other arm's readings.
Correct Answer is D
Explanation
A. Hyperthermia refers to an abnormally high body temperature due to external factors or failure to regulate body heat, not necessarily a fever coming down.
B. Pyrexia is another term for fever and occurs when the body temperature is elevated due to an infection or other causes.
C. Hypothermia refers to dangerously low body temperature, which is not related to a fever resolving.
D. Defervescence refers to the process of a fever breaking, and the body temperature returning to normal as the fever resolves.
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