A.  Assessment

        B.  Percussion

        C.  Organization

        D.  Communication

        A.  Maintaining privacy

        B.  Asking the appropriate questions

        C.  Formulating a nursing diagnosis

        D.  Creating a nursing care plan

        A.  Planning

        B.  Assessment

        C.  Evaluation

        D.  Intervention

        A.  Areas that need continuous care

        B.  Areas that need in-hospital care

        C.  Areas that need referral to a specialist

        D.  Areas in need of health adjustments

        A.  Hair, head and neck including eyes, ear, nose and mouth

        B.  Chest, back, arm, abdomen

        C.  Perineal area, legs and feet

        D.  Eyes and ears alone

        A.  Give patient a warm blanket

        B.  Ask if patient wants a glass of water

        C.  Offer patient to empty his/her bladder

        D.  Provide a small meal

        A.  Head to toe is completed when the patient is admitted; focused concentrates on a particular part of a body

        B.  Head to toe is systemic while focused concentrates on regional parts

        C.  Head to toe is done on every shift while focused is done when the person is admitted

        D.  Both RN's and LPN's should do head to toe assessments as well as focused assessments

        A.  "What brought you to the clinic today"

        B.  "Would you describe your overall health as good"

        C.  "Do you understand what is happening"

        D.  "Is there anything else you would like to tell me"

        A.  Dullness

        B.  Resonance

        C.  Hyperresonance

        D.  Tympany

        A.  Observe the client for grimaces, flinching, and other signs of pain

        B.  Monitor the client's blood pressure.

        C.  Ask the client to rate his pain on a scale of 1 to 10

        D.  Monitor the client's pulse and respirations

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