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Test banks | Nursing
TEST BANK: NURSING: A CONCEPT BASED APPROACH TO LEARNING, VOLUME2
SKU: NURSING | Pages: 11 | Year: 2022
Document Brief Description
CONCEPT 32: ASSESSMENT
About Assessment
1. A family member brings a client with type 1 diabetes mellitus to the emergency department.
The client is...
CONCEPT 32: ASSESSMENT
About Assessment
1. A family member brings a client with type 1 diabetes mellitus to the emergency department.
The client is confused, has a heart rate of 100, respirations of 9, and a fruity smell to the breath.
The initial action the nurse should take is to:
1. Notify the physician.
2. Call for the code team.
3. Assess the blood sugar.
4. Measure urine output.
Answer:
3. Assess the blood sugar.
Rationale:
The client is showing signs of the beginning of a diabetic coma. The first step by the nurse would
be to assess the client’s blood sugar. The nurse would then notify the physician of the results. A
code team is not necessary as the client is breathing and has a heart rate. Measuring urine output
would be a component of an ongoing assessment.
Nursing Process: Assessment
Client Need: Physiological Integrity
Cognitive Level: Creating
Learning Outcome: 1. Describe different types of assessments, indicating the proper use of
each.
- 11-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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Keywords
TEST BANK: NURSING: A CONCEPT BASED APPROACH TO LEARNING, VOLUME2, NURSING, NURSINGTEST BANK
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