Week 11 - assessment of hospitalized adult Flashcards Preview

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Flashcards in Week 11 - assessment of hospitalized adult Deck (12)
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1

Shift assessment

performed at the beginning of the shift and includes an abbreviated examination, with emphasis on risk areas, such as auscultation of lungs and abdomen and assessment of circulation and level of consciousness.

2

Focused assessment

concentrates on assessing for anticipated problems that can result from hospitalization, such as pneumonia, skin breakdown, falls, or infections, as well as those specific to the patient’s problems, such as surgery, trauma, or specific medical condition.

3

comprehensive assessment

more detailed and complete than shift and focused assessments.

4

the five rights of delegation

(1) the right task, (2) under the right circumstances, (3) to the right per- son, (4) with the right directions and communication, and (5) under the right supervision and evaluation

5

The shift assessment focuses on

immediate needs and potential complications

6

Hospitalized patient assessment includes

assessment of the equipment used in treatment

7

braden scale

risk assessment for skin breakdown

8

CAUTI

catheter associated UTI

9

which of the phases of the nursing process is most foundational for delivery of care?

assessment

10

Pain should be reassessed how often after an intervention?

every 30 minutes

11

vital signs are routinely checked every

4-8 hours depending on institution policy

12

The most common format for the comprehensive admitting assessment in the hospitalized adult is the

head-to-toe assessment