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RECALLS 2 NP 2 NP ASSESMENT Chamberlain College Nursing - Question and answers verified to pass
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RECALLS 2 NP 2 NP ASSESMENT Chamberlain College Nursing - Question and answers verified to pass In any type of charting or documentation, which of the following should the nurse refer to and use to generate and describe the status of patient Fe? Nursing __________. A. Assessment B. Process C. ...

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  • August 16, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
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  • recalls 2 np 2
  • recalls 2 np 2 np assesment chamberlain college nu
  • recalls 2 np 2 np assesment chamberlain college nu

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RECALLS 2 NP 2
In any type of charting or documentation, which of the following should the
nurse refer to and use to generate and describe the status of patient Fe?
Nursing __________.


A. Assessment
B. Process
C. actions
D. diagnosis - correct answer ✔A. Assessment


Which of the following are the purposes of documentation? To ________.
I. Ensure the development of organized comprehensive care plan
II. Have a clear and accurate record of what was done to the patient.
III. Have an evidence of the health care member's accountability in giving care
IV. Detect patients who are clinically deteriorating


A. II, III, IV
B. I, II, III, IV
C. I, II, III
D. I, III, IV - correct answer ✔C. I, II, III


Which of the following is the CORRECT definition of focus charting?


A. It is an electronically form of documentation of nursing care done to a
patient by a registered nurse.

,B. It is a note, written or electronically generated, to provide documentation
related to a specific focus.
C. It is a nurse-centered way of documentation that describes the patient
status and nursing care rendered.
D. It is a nurse-centered approach to documentation. - correct answer ✔B. It
is a note, written or electronically generated, to provide documentation related
to a specific focus.


In the given situation, which is the FOCUS?


A. Patient Natalie as the admitting nurse
B. Lumbo-sacral pains and strong uterine contractions
C. 15 years old, G0P1, AOG of 36 weeks
D. Admission at 6:30 in the morning - correct answer ✔B. Lumbo-sacral
pains and strong uterine contractions


What is the term used to describe the patient's data or assessment, the action
done based on the assessment and response based on the action made:


A. Progress Note
B. Flow sheets
C. Standard of Care
D. Focus Format - correct answer ✔D. Focus Format


This Is the first postoperative day for patient Shiela who delivered by
caesarean
section (CS). Nurse Gemma a newly hired staff was assigned to her.

,Patient Shiela asks the nurse why she has to get up and walk the day after
surgery. Which of the following is the BEST response of the nurse? Walking
hastens _________.


A. Hastens lactation
B. Relieves pain
C. Heals wounds
D. Fast recovery from anesthesia - correct answer ✔C. Heals wounds


Which laboratory finding should the nurse assess on the patient 24 hours after
caesarian section delivery upon doctor's request?


A. Trace 1+ proteinuria
B. Hematocrit 35%
C. White blood cell count 20,000/cu.mm
D. Hemoglobin 7.0 g/Dl - correct answer ✔D. Hemoglobin 7.0 g/Dl


Patient Shiela complains of "afterpains". What should be the nurse
IMMEDIATE action?


A. Advise her to stop breast-feeding for a day
B. Encourage her to drink more water
C. Assess vital signs and pain level
D. Administer an analgesic STAT - correct answer ✔C. Assess vital signs
and pain level

, Patient Shiela is to be discharge 3 days after CS delivery. Which of the
following observations of the nurse would cause the delay of her discharge
and would warrant notification to the physician?


A. Moderate amount of lochia rubra
B. Fundus is firm at umbilicus
C. Pulse rate of 61 beats/minute taken in 24 hours
D. Five voidings totaling 240 cc in 12 hours - correct answer ✔D. Five
voidings totaling 240 cc in 12 hours


On the third postpartum day, Patient Shiela reports that she has voided five
times that morning. What should the nurse INITIALLY do?


A. Insert a Foley catheter
B. Collect the next voiding and measure the urine amount
C. Catheterize the client to check for residual urine
D. Call the physician - correct answer ✔A. Insert a Foley catheter


Patient Apple, 19 years old, is in her first trimester of pregnancy. Because it is
her first pregnancy, she went for her prenatal check-up with her mother. She
asked a lot of questions which she expects the nurse to answer her.


The nurse asked for the personal data of the patient which, to some, Patient
Apple did not like to answer. And so she asked: "Why do you need to know if I
am married?" what should be a good response of the nurse? "I asked your
marital status because _________.


A. If you do not have a husband, then that can pose a big problem for you."

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