A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:
a complete physical examination
a medical assessment
writing nursing orders
an individualized plan of care
The Correct Answer is D
A. A complete physical examination – While a physical examination is part of data collection, the primary goal of a nursing assessment is to guide nursing care rather than conduct a full medical examination.
B. A medical assessment – Medical assessments are conducted by physicians to diagnose diseases, while nursing assessments focus on holistic patient care.
C. Writing nursing orders – Nursing orders are based on the care plan but do not encompass the entire purpose of the assessment.
D. An individualized plan of care – The primary purpose of a nursing assessment is to collect data to create a care plan tailored to the patient's specific needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bradycardia – Bradycardia is a slow heart rate below 60 beats per minute.
B. Tachycardia – Tachycardia is defined as a heart rate exceeding 100 beats per minute, which can result from fever, stress, dehydration, or cardiac conditions.
C. Dyspnea – Dyspnea refers to difficulty breathing, not an increased heart rate.
D. Tachypnea – Tachypnea is an abnormally rapid respiratory rate, not a rapid heart rate.
Correct Answer is A
Explanation
A. Jaundice – Jaundice results from elevated bilirubin levels, commonly due to liver disease, hemolysis, or bile duct obstruction. The yellow discoloration is most noticeable in the sclera.
B. Erythema – Erythema refers to redness of the skin, often due to inflammation or increased blood flow.
C. Ecchymosis – Ecchymosis refers to bruising caused by blood leakage under the skin.
D. Fetid – Fetid refers to a foul odor, not a discoloration of tissues.
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