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Special Considerations in Patient Assessment and Documentation

  • Patient assessment and documentation should be adapted to the specific characteristics of the patient population (e.g., age group, cultural background, health literacy level) and the setting (e.g., acute care, home care, community health).

  • Some examples of special considerations are:

  • Using developmentally appropriate language and techniques for pediatric patients

  • Assessing cognitive function and mental status for geriatric patients

  • Incorporating cultural beliefs and practices into the assessment process for diverse patients

  • Using standardized tools and scales for pain assessment for patients with communication barriers

  • Documenting relevant environmental factors for patients in home care or community health settings

Questions on Special Considerations in Patient Assessment and Documentation

Correct Answer is D

Explanation

<p>Respiratory depression is a life-threatening complication of substance abuse, especially opioid overdose, that requires immediate intervention. The nurse should report this finding to the provider and prepare to administer naloxone, an opioid antagonist, as prescribed.</p>

Correct Answer is D

Explanation

<p>The nurse should apply suction for no longer than 10 seconds at a time, preoxygenate the client with 100% oxygen before suctioning, and limit the number of suction passes to three per session to prevent hypoxia during tracheostomy suctioning. These actions help to minimize the interruption of oxygen delivery and reduce the risk of mucosal trauma and bleeding.</p>

Correct Answer is A

Explanation

<p>This technique may help to assess for other skin conditions, such as shock or hypovolemia, but it does not indicate cyanosis.</p>

<p>Stridor is a high-pitched crowing sound heard in the upper airway due to obstruction or inflammation. It is commonly heard in clients who have croup, epiglottitis, or foreign body aspiration.</p>

<p>Serum creatinine is a measure of the amount of creatinine, a waste product of muscle metabolism, in the blood. A value of 1.2 mg/dL is within the normal range for adults and does not indicate any problem.</p>

<p>The client should be informed that they cannot drive themselves home after the procedure, as they will be under the influence of sedation and may experience drowsiness, impaired judgment, and delayed reaction time. The client should arrange for a responsible adult to accompany them home and stay
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