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Study Chapter 16 Nursing Assessment flashcards from Laura Leal's Sauk Valley Community college class online, or in Brainscape's iPhone or Android app. ✓ Learn faster with spaced repetition. Chapter 16 Nursing Assessment Flashcards by Laura Leal | Brainscape Brainscape Find Flashcards Why It Works Educators Teachers & professors
The nurse admitting a patient who has a right fronta l lobe tumor would expect the patient may a. expressive aphasia. c. right-sided weakness. b. impaired judgment. d. dif ficulty swallowing. parietal lobe. W eakness and hemiplegia occur on the contralateral side from the tumor. Swallowing is controlled by the brainstem.
The nurse's technique is to ask a closed-ended question using a problem oriented approach. The patient gives a specific answer to broaden the nurse's knowledge about the character of his pain. 3 4. What technique(s) best encourage(s) a patient to tell his or her full story?
The nurse should use a focused approach initially to determine the patient's respiratory status. However, to gather an admission assessment, multiple visits are needed because of the patient's age and level of physical distress.
It is not only important for the nurse but for the patient as well. Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient.
If you are required to give report outside of a patient’s room try to keep your voice down so other patients and family members can not hear. Most nurses use the SBAR tool as a guide to help them give report, which is highly recommended.
SBAR stands for S ituation, B ackground, A ssessment, and R ecommendation.
However, to gather an admission assessment, multiple visits are needed because of the patient's age and level of physical distress. A structured comprehensive approach is not appropriate for this acute situation.
A patient who visits the allergy clinic tells the nurse practitioner that he is not getting relief from shortness of breath when he uses his inhaler. The nurse decides to ask the patient to explain how he uses the inhaler, when he should take a dose of medication, and what he does when he gets no relief.
A nurse checks a patient's intravenous (IV) line in his right arm and sees inflammation where the catheter enters the skin. She uses her finger to apply light pressure (i.e., palpation) just above the IV site. The patient tells her the area is tender.
1. A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since you've been in, but your appointment was for every 2 months. Tell me about that. Also I see from your last visit that the doctor recommended routine exercise.