Author Question: Upon entering the client's room at the beginning of a shift and throughout the shift, the nurse ... (Read 88 times)

leilurhhh · **on:** Jul 23, 2018

Upon entering the client's room at the beginning of a shift and throughout the shift, the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments.

What type of assessment is the nurse performing?

A) Ongoing partial assessment
B) Comprehensive assessment
C) Focused assessment
D) Emergency assessment

Question 2

A nurse has an order to take the core temperature of a client. At which of the following sites would a core body temperature be measured?

A) Rectal
B) Oral
C) Skin surface
D) Axillary

alexanderhamilton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
An ongoing partial assessment is conducted at regular intervals during care of the client and concentrates on identified health problems and the effectiveness of interventions. A comprehensive assessment includes a health history and complete physical examination and is usually conducted when a client first enters a health care setting. A focused assessment is conducted to assess a specific problem. An emergency assessment is a type of rapid focused assessment conducted to determine a potentially fatal situation.

Answer to Question 2

Ans: A
Core temperatures are measured by nurses rectally. Surface body temperatures are measured at oral (sublingual), axillary, and skin surface sites.