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Week 3 Health Assessment Revie Questions and Answers 100% Solved
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Week 3 Health Assessment Revie
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Week 3 Health Assessment RevieThe _____________ assessment is often collected in a primary care setting, such as a
women's health clinic.
Complete
Focused
Initial
Closing - answerComplete
When a client is experiencing a short-term problem, such as a rash, the care provider
conducts a(n) __________________ assessment.
problem-centered
complete
follow-up
exit - answerproblem-centered
Persons with chronic conditions, such as sickle-cell anemia, are seen by their primary
care provider for ______________ assessment.
focused
complete
follow-up
interim - answerfollow-up
For a client with cardiac arrest, a(n) __________________ assessment may be
obtained from relatives.
comprehensive
emergency
focused
rapid - answeremergency
What determines the frequency of assessment needed for each individual? - answerThe
person's health and wellness needs;
Data obtained from each assessment determines not only treatment for current
alterations in health, but the frequency and type of follow-up assessments. While the
CDC and health insurance companies often provide evidence-based recommendations
for care, it is the clinical judgment of the care team that makes the final determination.
While age is included in the assessment data for each individual, it is not the only
evidence used to determine assessment frequency.
Which statements about holistic health are correct? Select all that apply.
-Societal influences, including family, have little influence on individual health practices.
-Disease results from factors within and outside of the body.
,-Lifestyle choices have no impact on overall health.
-Views the mind, body, and spirit as vital to overall wellness.
-Each person is an active part of their own health and wellness. - answer-Disease
results from factors within and outside of the body.
-Views the mind, body, and spirit as vital to overall wellness.
-Each person is an active part of their own health and wellness.
While Mr. Chaudhury (pronouns: he/him/his) is recovering from surgery, the healthcare
provider prescribes his influenza vaccination (flu shot). The nurse verified that Mr.
Chaudhury had not gotten one this year and left a form for him to review and complete.
While handing back the complete form, Mr. Chaudhury asked why the same questions
are asked every year. Review Mr. Chaudhury's responses before answering the
question.
What is the best response by the nurse?
"It is for insurance purposes."
"It provides information on your current state of health."
"So long as you give answers, I am not sure it matters."
"Your answers help determine if it is safe for you to receive the vaccine today." -
answer"Your answers help determine if it is safe for you to receive the vaccine today."
Client with a fever on the second day after surgery. - answerHealth Problem: Client with
a fever on the second day after surgery.
Frequency of Follow-Up: 2-4 hours
Rationale: Fever after surgery is a cue that an infection may be occurring, which
requires further assessment of the operative site (redness, swelling, and drainage may
indicate infection), respiratory system (medications that depress the respiratory center
can allow secretions to accumulate in the lungs causing atelectasis, which can become
pneumonia), and the immune system (specifically the serum white blood cells that
would begin increasing in response to an infection).
Individual with stable heart failure. - answerHealth Problem: Individual with stable heart
failure.
Frequency of Follow-Up: 2-3 months
Rationale: A person with a stable, chronic condition can be seen in the provider's office
periodically.
Child treated at an urgent care center for a rash. - answerHealth Problem: Child treated
at an urgent care center for a rash.
Frequency of Follow-Up: As needed, if rash does not go away
Rationale: Anyone treated for a rash should follow up with their healthcare provider if
the rash lingers or worsens after treatment is provided, as needed.
Client with acute chest pain being treated in the emergency department. - answerHealth
Problem: Client with acute chest pain being treated in the emergency department.
Frequency of Follow-Up: Continuous
, Rationale: A person having acute chest pain will receive continuous monitoring,
interventions, and follow-up assessment during treatment.
Hospitalized client experiencing an allergic reaction to a new medication -
answerFocused Assessment
An adult with asthma that is stable - answerFollow-Up Assessment
An expectant woman at home with severe morning sickness - answerFollow-Up
Assessment
A young adult who walks into the emergency department saying they cut their hand on
a broken glass - answerFocused Assessment
While dining with friends, the health professional notices a woman at the next table
holding her hands to her neck and goes to help. The health professional begins 1. (a
complete; a focused; an emergency; a follow-up) assessment of her 2. (airway;
breathing; circulation; health) status by asking her, "Are you 3. (dying; choking; allergic)
to any medications ?" - answer1. an emergency
2. airway
3. chocking
Indicate which aspects of the complete health assessment can or cannot be delegated
by the nurse to an unlicensed assistive person (UAP) to complete.
Vital signs
Physical assessment of lungs
Known allergies
Current medications
Height and weight
Family history - answerCan be Delegated: Vital Signs; Height and weight.
Cannot be Delegated: Physical assessment of the lungs; known allergies; current
medications; family history
The novice nurse completing a focused assessment prior to administering a
cardiovascular medication notices a rubbing sound when assessing the apical pulse.
The client denies pain and the vital signs are normal. The abnormal sound has not been
previously documented on the client's health record.
The highest priority action for the nurse to take at this time is
-Request a more experienced colleague assess the heart sounds.
-Administer the medications.
-Notify the prescribing healthcare provider of the changed assessment.
-Wait 10 minutes and reassess the apical pulse. - answer-Request a more experienced
colleague assess the heart sounds.
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