Bedside Assessment Week 7 Nurs 1010 Exam
Questions with Verified Solutions 100%
Correct Questions and Correct Answers
What is required for a patient upon admission to a hospital? Ans:
— A complete head-to-toe physical examination.
Does a patient require a daily head-to-toe physical exam after
admission? Ans: — No, subsequent daily head-to-toe physical
exams are not required.
What type of examination must be consistently performed on
patients? Ans: — Specialized examinations that focus on certain
parameters.
What should be checked regarding assessment frequency? Ans: —
Check with facility policy and procedure for indicated frequency of
assessments.
What is important about measurements like daily weights or limb
circumference? Ans: — They must be measured using a consistent
approach.
What is the basic assessment sequence applicable to? Ans: — It
can be applied to medical, surgical, and step-down care units.
What additional assessments are necessary in an intensive care
setting? Ans: — Assessments based on patient acuity and
lifesaving equipment in use.
What should be noted regarding health history as you enter a
patient's room? Ans: — Verify necessary markers or flags for
conditions like isolation precautions or allergies.
What is the first action upon entering the patient's room? Ans: —
Perform hand hygiene.
What should you do after introducing yourself to the patient? Ans:
— Make direct eye contact and ask pertinent questions about
overall status and pain.
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What should you verify regarding patient identification? Ans: —
Check for ID band and appropriate wrist bands (alerts) are in
place.
What aspects of general appearance should be observed? Ans: —
Facial expression, body position, level of consciousness, skin color,
nutritional status, speech, hearing, and personal hygiene.
What baseline vital signs should be measured? Ans: —
Temperature, pulse, respiration, blood pressure, pulse oximetry,
and pain.
How should pain be assessed? Ans: — Rate pain level on a scale of
1 to 10 and note response to pain medication.
What are key components of the neurologic system assessment?
Ans: — Eyes opening spontaneously, motor response, verbal
response, pupil size and reaction, muscle strength, sensation,
communication, and ability to swallow.
What should be noted in the respiratory system assessment? Ans:
— Oxygen delivery method, respiratory effort, auscultation of
breath sounds, and presence of mucus.
What is important to assess in the cardiovascular system? Ans: —
Auscultate rhythm at the apex to determine if it is regular or
irregular.
What should be done when assessing the respiratory system? Ans:
— Ask the patient to cough and deep breathe; note the presence of
mucus.
What is the purpose of using an incentive spirometer? Ans: — To
encourage deep breathing and improve lung function.
What should be included in the assessment of speech? Ans: —
Articulation clarity, fluency, and appropriateness of content.
What should be observed regarding a patient's nutritional status?
Ans: — Weight in a healthy range, even fat distribution, and
healthy hydration.
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