Unit 1.1 recap

Which of the following situations is most appropriate for an episodic history?

• A client’s admission to a LTC facility

• A post op client develops cough & SOB

• A client’s admission to the hospital for surgery the following day

• A client seen in emergency following a severe car accident.

A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?

• Breathing, pain, sleep

• Breathing, sleep, pain

• Sleep, breathing, pain

• Sleep, pain, breathing

After completing an initial assessment on a client, the nurse charted that his respirations are eupneic and his pulse is 58. What type of data is this?

• Objective

• Reflective

• Subjective

• Introspective

A client tells the nurse that they are very nervous, nauseated and that he “feels hot”. What type of data is this?

• Objective

• Reflective

• Subjective

• Introspective

Which of the following is an example of first-level priority?

• A client with post op pain

•  A client newly diagnosed with T2DM who needs education about disease

• An individual with a small laceration on the sole of the foot

• A client with SOB and in respiratory distress

Which of the following would be considered second-level priority?

• Low level self esteem

• Lack of knowledge

• Abnormal lab values

• Severely abnormal vital signs