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
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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Related Questions
Correct Answer is D
Explanation
A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.
B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.
C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.
D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.
Correct Answer is B
Explanation
A. Urine output – Febrile states do not affect urine output directly.
B. Body temperature – "Febrile" refers to an elevated body temperature (fever), which typically occurs due to infection or inflammation.
C. Blood glucose – Febrile states can be associated with metabolic changes, but febrile itself does not refer to blood glucose.
D. Digestive enzymes – Digestive enzyme levels are not linked to febrile states.
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