Which of the following is the most appropriate open-ended question to begin a nursing assessment?

"Is this your first time experiencing these symptoms?"

"Do you have any allergies?"

"Can you describe what brought you to the hospital today?"

"Are you feeling any pain right now?"

Answer and Explanation

The Correct Answer is C

A. This is a closed-ended question that leads to a simple "yes" or "no" response, limiting the amount of information the nurse gathers.

B. While this is important information, it is not an appropriate opening question for a full nursing assessment, as it does not encourage the patient to share their primary concern.

C. This open-ended question allows the patient to provide a detailed narrative, helping the nurse gather a comprehensive history.

D. This is a closed-ended question that focuses only on pain rather than encouraging the patient to share their full reason for seeking care.

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Correct Answer is C

Explanation

A. While teamwork is crucial, patient input should come first to ensure the plan aligns with their needs and capabilities.

B. Family involvement is beneficial, but the patient should have the primary role in decision-making.

C. Effective discharge planning is patient-centered, ensuring that goals align with their preferences, abilities, and resources.

D. Although discharge planning should begin at admission, the most important factor for success is patient involvement.

A. Risk for alteration in skin integrity B. Activity Intolerance C. Risk for Infection D. Deficient Fluid volume

Correct Answer is B

Explanation

A. While long-term immobility increases the risk of skin breakdown, this is not the primary concern in this scenario.

B. The patient exhibits fatigue, increased heart rate, and orthostatic hypotension, indicating reduced ability to tolerate physical activity, making Activity Intolerance the most appropriate diagnosis.

C. While ICU patients may be at risk for infection, there is no evidence of active infection in this scenario.

D. Orthostatic hypotension can be linked to dehydration, but the case does not provide enough information to confirm a fluid volume deficit.

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Which of the following is the most appropriate open-ended question to begin a nursing assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse begins discharge planning for an older adult with left-side weakness. Which action is most important in ensuring that the discharge plan is successful?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

A nurse reviews a patient's health record and finds the following data. Which example includes only subjective data?

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