After Completing the Initial Head-To-Toe Shift Assessment, the Nurse Determines

question 22

Multiple Choice

After completing the initial head-to-toe shift assessment, the nurse determines that no changes are needed in the client's plan of care.Which evaluation process supports the nurse's decision?

• A)Using the knowledge that the client received a comprehensive health assessment
• B)Reviewing the effectiveness of previously initiated nursing interventions
• C)Referring to the facility's general plan of client care for the current shift
• D)Recognizing that the client may be discharged from the hospital during this shift

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Definitions:

Urine Specimen

A sample of urine collected for the purpose of medical examination and analysis.

Pale Urine

Indicates urine that is lighter in color than normal, potentially due to high water intake or kidney issues.

Nonpathologic Causes

Factors or conditions not related to disease processes, often referring to normal or benign reasons behind a symptom or sign.

Specific Gravity

A measure of the density of a substance compared to the density of water at a specified temperature, indicating how heavy or light a substance is relative to water.