Author Question: Which of the following is an example of an ongoing assessment? a. Taking the patient's ... (Read 39 times)

cabate · **on:** Jul 23, 2018

Which of the following is an example of an ongoing assessment?

a. Taking the patient's temperature 1 hour after giving acetaminophen (Tylenol)
b. Examining the patient's mouth at the time she complains of a sore throat
c. Requesting the patient to rate intensity on a pain scale at the first perception of pain
d. Asking the patient in detail how he will return to his normal exercise activities

Question 2

The nurse is performing preoperative teaching for a client who is scheduled for surgery in the morning. The client does not at present have any respiratory problems. The nurse's teaching plan includes coughing and deep-breathing exercises.

Which type of nursing intervention is the nurse performing?
a. Health promotion
b. Treatment
c. Prevention
d. Assessment

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

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.