This step of the nursing process involves collecting patient information through observation, interview and physical assessement.
What is Assessment?
Data obtained from a patient stating, "My pain feels sharp and stabbing," is classified as this type of data.
What is subjective data?
According to the WHO, patient safety is the prevention of these in healthcare.
What are errors and adverse effects (harm) to patients?
Vital signs alone never tell the whole story; they must be interpreted along with this.
What is a focused patient assessment?
This term means all members of a household have consistent access to sufficient, safe, nutritious food to maintain a healthy lifestyle.
What is food security?
Acting on behalf of a patient to protect their rights and ensure understanding of care describes this nursing role.
What is advocacy (advocate)?
This type of assessment is performed on admission and includes a full health history and head-to-toe exam.
What is a comprehensive assessment?
The single most important action to stop the spread of infection in any setting is this.
What is hand hygiene (handwashing)?
For infants and young children, respirations must be counted for this long because they can be irregular.
What is one full minute?
This type of nutrition is preferred over parenteral when the GI tract is functioning because it preserves gut integrity and has a lower infection risk.
What is enteral nutrition?
This professional principle means the nurse is legally and professionally responsible for the care they provide.
What is accountability?
The nurse witnesses a patient signing a surgical consent but notices the patient is confused about the procedure. The nurse’s priority action is this.
What is notify the provider because the patient does not understand the procedure?
(or hold the consent/witnessing until clarification occurs)
These are the three transmission-based precautions used in addition to Standard Precautions.
What are contact, droplet, and airborne precautions?
In a patient with declining cardiac status, the nurse should check this pulse because blood is shunted away from extremities.
What is the carotid pulse?
After an NG or PEG tube is placed, the nurse confirms placement using this method.
What is an X-ray?
According to Patricia Benner, a nurse with 2-3 years of experience is at this level.
What is competent?
A nurse discusses a patient’s diagnosis in the elevator with another nurse not involved in care. This legal violation has occurred.
What is a HIPAA breach (confidentiality violation)?
This type of isolation requires an N95 respirator and a negative-pressure room.
What is airborne precautions?
This oxygenation monitoring device may give inaccurate readings if the patient has nail polish, edema, or peripheral vasoconstriction.
What is pulse oximetry (SpO₂/pulse ox)?
The most common and most serious complication associated with total parenteral nutrition (TPN) is this.
What is infection (central line–associated infection/CLABSI risk)?
This ethical principal requires nurses to keep promises and provide care even when they disagree with a patients choices or lifestyle.
What is fidelity?
A nurse accepts report on a patient and leaves the unit without arranging coverage. This is considered this legal offense.
What is patient abandonment?
A patient has suspected C. diff with diarrhea. This hand hygiene method is required after patient care.
What is washing hands with soap and water?
This vital sign assessment cannot be delegated to assistive personnel because it requires nursing judgment.
What is apical pulse assessment?
To reduce aspiration risk during tube feeding, the nurse keeps the head of bed at this angle during feeding and for a period afterward.
What is 30–45 degrees during feeding (and at least 30–60 minutes after)?