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Holistic health assessment Final exam Questions With Complete Solutions
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Holistic health assessment Final exam Questions With Complete Solutions
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Holistic health assessment Final exam Questions WithComplete Solutions
A client with aching, cramping pain in lower leg with edema
may have Correct Answer Venous insufficiency
A client with an increase in venous pressure upon inspiration
Correct Answer Kussmaul sign
A client with distention bulging or protruding of the jugular vein
at 45, 60 or 90° bed position Correct Answer Right side heart
failure
A client with intermittent claudication, deep muscle pain in calf
with diminished pulses may have Correct Answer Arterial
insufficiency
a delayed upstroke may indicate Correct Answer aortic stenosis
A pulse deficit may indicate Correct Answer atrial fibrillation,
atrial flutter, premature ventricular contractions, and varying
degrees of heart block
A split S1 in young adults is Correct Answer Normal
A split S2 heard during late inspiration is Correct Answer
Normal
A, B,C, D, E skin cancer identification Correct Answer A:
Assymetrical
B: borders (irregular)
C: coloration
,D: diameter
E: Elevated
Adventitious sounds: Course crackles Correct Answer Loud,
low-pitched, bubbling, moist
Ex: Pulmonary edema, Pneumonia, Pulmonary fibrosis
Adventitious sounds: Fine crackles during early inspiration
Correct Answer High pitched popping
Ex: Bronchitis, Asthma, Emphysema (BAE)
Adventitious sounds: Fine crackles during late inspiration
Correct Answer High pitched popping
Ex: Pneumonia or CHF
Any split S2 heard in expiration is Correct Answer Abnormal
Arterial insufficiency: Aggravating factors Correct Answer
Activity
Elevation
Arterial insufficiency: Risk factors Correct Answer Rest helps
Arterial insufficiency: Skin characteristics Correct Answer
Cool to cold
Hairless
Nails thickened
Arterial insufficiency: Ulcer characteristics Correct Answer
Location: tips of toes
Very painful
Circular
, Ataxic respiration pattern Correct Answer irregular and varing
depths of respiration
Atelectatic crackles Correct Answer NOT pathogenic breath
sound
Clears with cough or after a few breaths
Auscultation: Aortic location Correct Answer 2nd right ICS,
right sternal border
Auscultation: Erb's point Correct Answer 3rd left ICS, LSB
Auscultation: Mitral Correct Answer 5th left ICS, LSB
Auscultation: Pulmonic location Correct Answer 2nd left ICS
Auscultation: Tricuspid Correct Answer 4th left ICS, LSB
Barrel chest is indicative of what disease Correct Answer
Emphysema
BMI: Normal Correct Answer 18.5 - 24.9
BMI: Obese Correct Answer 30 and above
Boit respirations Correct Answer irregular breath pattern with
varying depths and rates of respiration followed by apnea
Ex: Meningitis or serious brain damage
Braden Scale values: High risk Correct Answer 10-12
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