Primary assessment
this assessment follows the scene size up to discover & treat immediate life threats
Primary Assessment
Secondary assessment
Tertiary assessment
Quartenary assessment
What is primary assessment?
A patient is found unconscious on the floor with a partially obstructed airway. Which action should be taken first?
A. Check for a pulse.
B. Begin chest compressions.
C. Attempt to open the airway with a head tilt chin lift.
D. Administer oxygen.
absence of breathing
Eupnea
Apnea
Respiration
Circulation
What is apnea?
Initial evaluation of a patient's condition used for comparison to future assessments.
Baseline assessment
Physical assessment
Focused assessment
Head-to-toe assessment
What is a baseline assessment
The nurse begins to document approximately three hours after completing the health, and physical assessment of a client admitted with acute right lower quadrant abdominal pain. Which of the following might be true about this documentation?
A. It will be highly accurate because the nurse has had more time to interact with the client.
B. It may not be as detailed due to the time that has elapsed since the assessment.
C. It will be focused and concise.
D. It will be thorough and complete.
What is "it may not be as detailed due to the time that has elapsed since the assessment"?
This is the first step of the primary assessment.
Skin assessment
general impression
Depression screening
Vital Sign assessment
What is form general impression?
The brachial pulse is located on the inner aspect of the elbow, just above the bend of the elbow, in the antecubital fossa
SOB or difficulty breathing
Eupnea
Apnea
Respiration
Dyspnea
What is dyspnea
What is the normal respiratory rate range?
6-8 bpm
12-20 bpm
30-60 bpm
20-30 bpm
What is 12-20 breaths per minute
In a type of nuclear medicine called positron emission tomography (PET), the tracer shows what?
In a type of nuclear medicine called positron emission tomography (PET), the tracer shows the natural activity of cells
this should be treated immediately upon being found & before moving on with your assessment
Abnormal Vital Signs
Life-threatening conditions
Substantial chronic conditions
Hypertension
What is life-threatening conditions?
pulses should be checked in this location on unconscious PT.
carotid pulse
brachial pulse
axillary pulse
popliteal pulse
What is carotid pulse?
breathing a foreign substance into the lungs
Respiration
Aspiration
Inspiration
Expiration
What is aspiration?
After completing the health history, the Nuclear Medicine Tech begins to ask more detailed questions to clarify points and follow up on concerns expressed by the client during the interview. This portion of the health assessment is:
A. Informal teaching
B. Objective data
C. Focused interview
D. Interpretation of findings
What is a focused interview
During the health interview, the client mentioned that she is "very stressed about her home situation."
The nuclear medicine tech. sees this information as impacting the client's level of pain control. Which approach is the nurse using during the health interview?
A. Cultural
B. Holistic
C. Developmental
D. Communication
What is holistic assessment.
What is the correct order of assessments. general impression, assessing the mental status & the ABC's
The correct order of assessment:
1. General Impression
2. Performing the ABC's
3. Assessing the mental health status
To measure blood pressure, you can use what two instruments to assess the brachial pulse?
To measure blood pressure, you can use a stethoscope and a blood pressure cuff to listen to the brachial pulse.
Which term refers to the process of listening to sounds within the body using a stethoscope during a physical examination?"
A. Palpation
B. Auscultation
C. Inspection
D. Percussion
Auscultation
After conducting the health interview, the nurse begins to measure the client's vital signs. The nuclear medicine tech is collecting:
A. Subjective data
B. Objective data
C. Secondary data
D. Constant data
What is objective data
Which patient information does the nurse document in the patient’s physical assessment?
a. Slurred speech
b. Immunizations
c. Smoking habit
d. Allergies
What is slurred speech.
(Slurred speech should be noticed by the nurse and documented as objective data in the physical assessment.)
Which of the following statements is true regarding cultural sensitivity in healthcare?
A. All members of a cultural group share identical behaviors and beliefs.
B. Healthcare providers should be aware of their own cultural biases.
C. Cultural and ethnic diversity has no impact on healthcare.
D. Patients' responses to illness are not influenced by their cultural values.
B. Healthcare providers should be aware of their own cultural biases.
Identify two of the three points of assessing circulation?
What is: assessing pulse, skin condition & cap refill?
Evaluation of a patient's cognitive function, including orientation, memory, and thought process
Mental Status Assessment
The nurse is documenting the findings from a health assessment. Which of the following demonstrates the documentation of subjective information?
A."It hurts when I put weight on my leg."
B. Abdomen soft and nontender to palpation
C. Blood pressure 110/68
D. "Pulses present in lower extremities"
What is "It hurts when I put weight on my leg."
Nuclear medicine determines the cause of the medical problem based on the function of the organ, tissue or bone.
True/False
True