Answer to Question 1
A
An ongoing assessment occurs when a previously identified problem is being reassessedfor example, taking an hourly temperature when a patient has a fever. Examining the mouth is a focused assessment to explore the patient's complaint of sore throat. Asking for a pain rating is a focused assessment at the first complaint of pain. A detailed interview about exercise is a special needs assessment; there is no way to know whether it is initial or ongoing.
Answer to Question 2
C
The nurse is teaching the client coughing and deep-breathing exercises, which help prevent postoperative pneumonia. Therefore, the nurse is employing a prevention intervention. Prevention interventions are used to help prevent complications, such as postoperative pneumonia. Health promotion interventions promote a client's efforts to achieve a higher level of wellness. Treatment interventions treat disorders, relieve symptoms, and carry out medical orders. Assessment interventions detect changes in the client's condition and detect potential problems.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Equipment Used in Physical Assessment
Assessment of coordination: fingertip-to-nose touch.
Nursing assessment questions
Nursing history for skin assessment
Stereotaxic Surgery on a Human Patient