Nursing 230 final

While caring for an 80-year-old, the nurse determines that the client’s oral temperature is (96.5 °F). This is due to..

What are nonverbal behaviors that signal the patient is in acute pain?

You only perform COLDSPA when your patient reports pain.

When can the general inspection be started?

When should you reassess your patient after giving pain medication?

During an interview with an adult client, the nurse can keep the interview from going off course by

The nurse is caring for a client who is experiencing visceral pain. What is this client's most likely diagnosis?

Nurses are always doing what?

After a physical assessment the nurse is prepared to analyze the collected data. what nursing process phase is this?

While performing a physical examination, the nurse can detect the density of an underlying structure by using what?

A nurse is planning individualized care for a community. What does the nurse use as a framework for this plan?

A nurse has completed assessment of a client and is validating the information and reviewing goals with the client.

What action is appropriate for a nurse to perform when an irregular radial pulse is palpated on a client?

The nurse is taking vital signs, pts. BP reads 204/148. This is not a normal reading for the pt., what should the RN do?

Personal health history encourages the client to explain the health problem they are experiencing in detail.

What part of the hand is used to take pulses, feel texture, size, and shape of extremeties?

What type of pain is diabetic neuropathy?

The diaphragm of the stethoscope is used to listen to higher frequency sounds.

Upon entering an adult client's room to begin a shift assessment, the nurse should call the rapid response team based on

Subjective data is when a nurse collects physical characteristics, vital signs, apperance, etc.

The nurse is beginning examination of the client. what is NOT a part of the general survey?

The nurse assesses the amplitude of the client's radial pulse and finds it to be weak and diminished. What is this rated

Jim comes to his family doctors office and complains of a sore throat and fever. What type of assessment is performed?