The nurse is reviewing assessment findings on a patient admitted with an extremely slow heart rate in preparation to write a care plan. The patient complains of dizziness, shortness of breath, chest pain, and fainting spells. Vital signs are blood pressure of 98/60 mm Hg and pulse of 52 beats/min. Oxygen saturation is 88%. Which action does the nurse perform next?

Question

Quizplus · Accepted Answer

After collecting and reviewing all of the assessment data, the nurse looks for patterns and related data to support specific Nursing diagnoses. This process is referred to as clustering data. Clustering involves organizing patient assessment data into groupings with similar underlying causes. All patient information should be considered as potentially contributing to the identification of diagnostic labels. This information includes subjective and objective data collected through physical assessment of the patient, interview of the patient and family members, and laboratory and diagnostic test results, including x-rays, physicians' orders, and documentation from health care providers. Verifying specific Nursing diagnoses for a patient or situation follows accurate analysis and clustering of data.

The Nurse Is Reviewing Assessment Findings on a Patient Admitted