You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

head-to-toe assessment

focused assessment

complete assessment

system-by-system assessment

Answer and Explanation

The Correct Answer is B

A. Head-to-toe assessment – A head-to-toe assessment is a comprehensive evaluation of all body systems and is not appropriate for an urgent complaint.

B. Focused assessment – A focused assessment is used for specific complaints, such as severe abdominal pain, to quickly gather relevant information.

C. Complete assessment –. A complete assessment includes a full health history and physical examination, which is unnecessary in an acute situation.

D. System-by-system assessment – A system-by-system assessment is detailed and comprehensive but may be too broad for addressing an immediate concern.

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Correct Answer is D

Explanation

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.

A. pruritus B. erythema C. Turgor D. Exudate

Correct Answer is B

Explanation

A. Pruritus. – Pruritus refers to itching, not redness or inflammation.

B. Erythema. – Erythema describes redness of the skin or mucous membranes due to capillary dilation, commonly seen in infections, sunburn, or allergic reactions.

C. Turgor. – Turgor refers to skin elasticity and is used to assess hydration status. It does not indicate redness or inflammation.

D. Exudate. – Exudate refers to fluid drainage from wounds or infections, not skin redness.

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You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is D

Explanation

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

Correct Answer is B

Explanation

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You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

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