The person is breathing so quickly they are unable to speak.
The individual is unresponsive.
Not Require Immediate Action:
A toddler is clinging to the client's leg.
The client is clutching their abdomen.
The person reports being in pain.
How do health professionals protect the client's private information when using a hard copy medical
record? Select all that apply. - correct answer ✔✔Return the medical record to the designated storage
area.
Shield identifying information from view by visitors.
Close the medical record when entering the client's room.
Identify the major components of the complete health assessment by dragging the correct options from
the left side to the right side column. - correct answer ✔✔Health Ass Comp:
Health history
Physical assessment
Discharge teaching
Interpretation of data
Setting realistic goals
, Health Assessment Components:
Health history
Physical assessment
Interpretation of data
When entering the room to perform a complete health assessment on a new client, the nurse finds the
client and family standing around an unlicensed assistive personnel (UAP) who is lying on the floor.
What is the priority action for the nurse? - correct answer ✔✔Assess the UAP.
In which situations does the nurse collect data as part of an assessment? Select Yes if data is being
collected or No if data is not being collected. - correct answer ✔✔During the complete health
assessment. yes
When administering medications. yes
When asking questions from the client's partner. yes
While reading the nurse practitioner's admission note. yes
As they pass the individual walking in the hallway. yes
The nurse enters the room of a client sitting in a reclining chair with their eyes closed. When the
individual does not respond to their name, the nurse speaks louder while gently shaking the client's arm
before assessing their breathing and pulse, which are both normal.
What type of assessment was completed? Select the correct answer from the drop-down below. -
correct answer ✔✔Rapid
Margaret (pronouns: she/her/hers) is a 79-year-old in the hospital following a total hip replacement that
morning. At midnight, the nurse enters to complete a focused assessment and finds Margaret sitting in
bed crying and talking on the phone. When she ends that call, she says to the nurse, "My grandson broke
into my home and stole things. I must go home now, so he does not come back with his friends and ruin
the place."
Where in Maslow's hierarchy does Margaret's concern fall - correct answer ✔✔Safety
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