Medical Surgical Nursing, Lewis, chapters 25-37 Questions and Answers High Distinction 2023

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A patient in severe respiratory distress is admitted to the medical unit at the hospital. During the admission assessment of the patient, what should the nurse do? a. Perform a comprehensive health... history with the patient to determine the extent of prior respiratory problems. b. Complete a full physical examination to determine the effect of the respiratory distress on other body functions. c. Delay any physical assessment of the patient, and ask family members about the patient's history of respiratory problems. d. Perform a physical assessment of the respiratory system, and ask specific questions related to this episode of respiratory distress. - -ANS: D When a patient has severe respiratory distress, only information pertinent to the current episode is obtained, and a more thorough assessment is deferred until later. PTS: 1 DIF: Cognitive Level: Application REF: page 617 OBJ: 8 TOP: Nursing Process: Assessment MSC: CRNE: CH-1 -A hypothermic patient is admitted to the emergency department, and pulse oximetry (SpO2) indicates that the O2 saturation is 95%. Which action should the nurse take next? a. Complete a head-to-toe assessment [Show More]

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