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A Concept-Based Approach
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4th Edition Volume III ii ii ii




by Pearson Education Chapters 1 -
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,Testk j h g v b Bankk j h g v b forkjhgvbClinicalkjhgvbNursingk j h g v b Skills:k j h g v b Ak j h g v b Concept-
Basedk j h g v b Approachk j h g v b 4thk j h g v b EditionkjhgvbPearsonii

,Clinicalk j h g v b Nursingk j h g v b Skills:kjhgvbAk j h g v b Concept-
Basedk j h g v b Approach,k j h g v b 4ek j h g v b (Pearson)kjhgvbEducationk j h g v b TestkjhgvbBankiiChapterk j h g v
b 1:k j h g v b Assessment



1) Ak j h g v b clientk j h g v b onk j h g v b thek j h g v b medical/surgicalk j h g v b unitk j h g v b complainsk j h g v b ofk j h g v b
suddenk j h g v b chestk j h g v b pains.k j h g v b Whichk j h g v b actionkjhgvbwillk j h g v b theiinursek j h g v b implementk j
h g v b first?

A) Callk j h g v b thek j h g v b healthcarek j h g v b provider.
B) Administerk j h g v b paink j h g v b medication.
C) Reassessk j h g v b ak j h g v b newk j h g v b setk j h g v b ofk j h g v b vitalk j h g v b signs.
D) Turnkjhgvbclientkjhgvbfromkjhgvbsup
inekjhgvbtokjhgvblateral.iiANSWER:
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Explanation:k j h g v b A)k j h g v b Thek j h g v b nursek j h g v b willk j h g v b needk j h g v b tok j h g v b reassessk j h g v b thek j h g
v b clientk j h g v b first,k j h g v b beforek j h g v b callingk j h g v b thekjhgvbhealthcareprovider.

B) Thek j h g v b nursek j h g v b willk j h g v b needk j h g v b tok j h g v b reassessk j h g v b thek j h g v b clientk j h g v b first,k j h g v b beforek j h g v b adm
isteringk j h g v b paink j h g v b medication.
C) Thek j h g v b nursek j h g v b needsk j h g v b tok j h g v b implementk j h g v b ak j h g v b newk j h g v b setk j h g v b of
k j h g v b vitalk j h g v b signsk j h g v b firstk j h g v b whenk j h g v b therek j h g v b isk j h g v b akjhgvbchangek j h g v b iniic

ondition.
D) Thek j h g v b nursek j h g v b willk j h g v b needk j h g v b tok j h g v b reassessk j h g v b thek j h g v b clientk j h g v b first,k j h g
v b beforek j h g v b movingk j h g v b thek j h g v b client,k j h g v b tok j h g v b avoidkjhgvbmakingkjhgvbtheiichangek j h g v b i

nk j h g v b client'sk j h g v b conditionk j h g v b worse.
Pagek j h g v b Ref:k j h g v b 2
Cognitivek j h g v b Level: Applying
Clientk j h g v b Need/Sub:
Physiologicalk j h g v b Integrity:k j h g v b Reductionk j h g v b ofkjhgvbR
iskk j h g v b PotentialkjhgvbStandards:k j h g v b Nursingk j h g v b Process:k j h g v b Assessmentk j h
g v b |k j h g v b Learningk j h g v b Outcome:k j h g v b 1.1k j h g v b |k j h g v b QSENkjhgvbCompetencies:

Patient-Centeredk j h g v b Care
AACNk j h g v b Domainsk j h g v b andk j h g v b Comps.:k j h g v b Domaink j h g v b 2:k j
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CenteredkjhgvbCareiiNLNk j h g v b Competencies:k j h g v b Relationshipk j h g v
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2) Thek j h g v b nursek j h g v b isk j h g v b observingk j h g v b thek j h g v b UAPk j h g v b takingk j h g v b thek j h g v b temp
eraturek j h g v b ofk j h g v b ank j h g v b unconsciousk j h g v b client.kjhgvbWhichk j h g v b routeiiwillk j h g v b thek j h g
v b nursek j h g v b questionk j h g v b thek j h g v b UAPk j h g v b using?

A) Oral
B) Rectal
C) Scanner
D) Tympanic
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A
Explanation:k j h g v b A)k j h g v b Thek j h g v b temperaturek j h g v b ofk j h g v b ank j h g v b unconsciousk j h g v b clientk j
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nerk j h g v b methodk j h g v b isk j h g v b preferred.
B) Thek j h g v b rectal,k j h g v b tympanic,k j h g v b ork j h g v b scannerk j h g v b methodk j h g v b isk j h g v b preferred.
C) Thek j h g v b rectal,k j h g v b tympanic,k j h g v b ork j h g v b scannerk j h g v b methodk j h g v b isk j h g v b preferred.
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Cognitivek j h g v b Level: Applying
Clientk j h g v b Need/Sub:
Safek j h g v b andk j h g v b Effectivek j h g v b CarekjhgvbEnvironment:k j h g v b Safetykjhgvban
dk j h g v b Infectionk j h g v b ControlkjhgvbStandards:k j h g v b NursingkjhgvbProcess:k j h g v b Evaluationk j h g v b |k j h g
v b Learningk j h g v b Outcome:k j h g v b 1.1k j h g v b |kjhgvbQSENk j h g v b Competencies:kjhgvbSafetyAACNk j h g v b

Domainsk j h g v b andk j h g v b Comps.:k j h g v b Domaink j h g v b 5:k j h g v b Qualityk j h g v b andk j h g v b Safety
NLNk j h g v b Competencies: Qualityk j h g v b &k j h g v b Safety




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