Nokea
A nurse is assisting with lunch at a nursing home. Suddenly, one of the residents begins to choke and is unable to breathe. The nurse assesses the residents ability to breathe and then begins CPR. Why did the nurse assess respiratory status?
- A. to identify a life-threatening problem
- B. to establish a database for medical care
- C. to practice respiratory assessment skills
- D. to facilitate the residents ability to breathe
Correct Answer: A
Rationale: Assessing respiratory status in this scenario identifies a life-threatening issue requiring immediate intervention.
You may also like to solve these questions
A nurse who collected and organized data during a patient history realizes that there is not enough information to plan interventions. Which of the following would be the best remedy to prevent this from happening in the future?
- A. The nurse should practice interviewing strategies.
- B. The nurse should modify data collection tool.
- C. The nurse should determine specific purpose of data collection.
- D. The nurse should review and practice communication techniques.
Correct Answer: A
Rationale: Practicing interviewing strategies improves data collection thoroughness.
A nurse performing triage in an emergency room makes assessments of patients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply.
- A. carrying out a physicians order to intubate a patient
- B. teaching a novice nurse the principles of triage
- C. using the nursing process to diagnose a blocked airway
- D. interviewing a patient suspected of being a victim of abuse privately
- E. checking the data supplied by a patient with dementia with the family
- F. teaching a diabetic patient about the importance of proper foot care
Correct Answer: C,D,E
Rationale: Critical thinking in assessment includes diagnosing conditions (C), conducting private interviews to gather sensitive data (D), and validating information with reliable sources (E).
Which theoretical framework is being used when a nurse organizes a nursing history according to functional health patterns?
- A. Body Systems Model
- B. Functional Health Patterns
- C. Maslows Hierarchy of Needs
- D. Orem's Self-Care Model
Correct Answer: A
Rationale: Functional Health Patterns is a framework for organizing nursing history data.
Which of the following group of terms best defines assessing in the nursing process?
- A. problem focused, time lapsed, emergency based
- B. design a plan of care, implement nursing interventions
- C. collection, validation, communication of patient data
- D. nurse focused, establishing nursing goals
Correct Answer: C
Rationale: Assessing in the nursing process involves gathering, verifying, and sharing patient information to inform care decisions.
Which of the following entries would be an example of appropriate documentation?
- A. Patient appears depressed and tired.
- B. I am so down today, and I just dont have any energy.
- C. Patient had a good bowel movement.
- D. Complains of abdominal pain. Probably constipated.
Correct Answer: B
Rationale: Appropriate documentation uses the patient's own words to describe their condition accurately.