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Test Bank For Lehninger Principles of Biochemistry 8th Edition By David L. Nelson; Michael M. Cox | 9781319228002 | | Chapter 1-28 | Complete Questions And Answers A+ $17.99
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Test Bank For Lehninger Principles of Biochemistry 8th Edition By David L. Nelson; Michael M. Cox | 9781319228002 | | Chapter 1-28 | Complete Questions And Answers A+

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  • Health Assessment for Nursing Practi
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  • Health Assessment For Nursing Practi

Elevate your biochemistry exam preparation with the Test Bank for Lehninger Principles of Biochemistry, 8th Edition by David L. Nelson and Michael M. Cox. Instantly download a printable PDF featuring comprehensive questions and answers for all 28 chapters, directly from the publisher. This is your ...

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  • January 16, 2025
  • 282
  • 2024/2025
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  • Health Assessment for Nursing Practi
  • Health Assessment for Nursing Practi
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Lectdavian
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,Chapter01:IntroductiontoHealthAssessment
Wilson:HealthAssessmentforNursingPractice,7thEdition
vv




MULTIPLECHOICE

1. Apatientcomestotheemergencydepartmentandtellsthetriagenursethatheis―havingaheart n n v v v v




attack.‖Whatisthenurse‘stoppriorityatthistime?
v v n




a. Determinethepatient‘spersonaldata andinsurancecoverage. v v




b. Askthepatienttotakeaseatinthewaitingroomuntilhisnameiscalled.
c. Requestthatanursecollectdataforacomprehensivehistory.
d. Askanursetostartafocusedassessmentof thispatientnow. v v




ANS: v v D
Thenurseneedstobeginanassessmentassoonaspossiblethatisfocusedonthispatient‘s
n n




vcardiovascularsystem.Thetypeofhealthassessmentperformedbythenurseisalsodrivenby
v




patientneed.Personaldataandinsuranceinformationwillbeobtained,butinthissituation,thesedata
vv n n




v canwaituntilafterthepatientisassessed.BasedalsoonMaslow‘shierarchyofneeds,
v




physiologicneedstakeprecedence.Ratherthanaskingthepatienttowait,thenurseneedstobegindata
vv n




collection,suchasvitalsigns,immediatelytodeterminethepatient‘shealthstatus.
vv n n




Complicationscanbepreventedifanimmediateassessmentismadetoanalyzethepatient‘s
n n




symptoms.Acomprehensivehistoryisnotindicatedinthissituationatthistime.Somesubjectivedata
vv n n n n




willbecollected,suchasallergiesandmedicalhistoryrelatedtocardiovasculardisease.
vv n




Eyes,ears,oracompletemusculoskeletalormentalhealthassessmentisnotapriorityatthistime.
n n n




DIF:CognitiveLevel:Apply REF: Box 1-3 v v n




TOP:NursingProcess:Assessment
vv




MSC:NCLEXPatientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare:Establishing
v n n




Priorities
vv




2. Whichsituationillustratesascreeningassessment?
a. Apatientvisitsanobstetricclinicforthefirsttimeandthenurseconductsa n




detailedhistoryandphysicalexamination.
vv n




b. Ahospitalsponsorsahealthfairatalocalmallandprovidescholesterolandblood
pressurecheckstomallpatrons.
vv n




c. Thenurseinanurgentcarecenterchecksthevitalsignsofapatientwhois
n




complainingoflegpain.
vv




d. Apatientnewlydiagnosedwithdiabetesmellituscomestotesthisfastingblood
v v v v




glucoselevel. vv




ANS: v v B
Ahealthfairatalocalmallthatprovidescholesterolandbloodpressurechecksisanexampleofa n




vscreeningassessmentfocusedondiseasedetection.Adetailedhistoryandphysicalexamination
v n n




conductedduringafirst-timevisittoanobstetricclinicisanexampleofacomprehensive
vv n n




assessment.Assessingapatientcomplainingoflegpaininthetriageareaof anurgentcarecenter
vv n n n v v v v




isanexampleofaproblem-based/focusedassessment.Apatient‘sreturnappointment1month
vv n n




aftertoday‘sofficevisittoreportfastingbloodglucoselevelsisanexampleofanepisodicorfollow-
vv n n




v upassessment.
v




DIF:CognitiveLevel:Understand REF:Box1-3 n

, TOP:NursingProcess:Assessment
MSC:NCLEXPatientNeeds:HealthPromotionandMaintenance:Health Screening v v




3. Forwhichpersonisascreeningassessmentindicated?
a. Thepersonwhohadabdominalsurgeryyesterday
b. Thepersonwhoisunawareofhishighserumglucoselevels
c. Thepersonwhoisbeingadmittedtoalong-termcarefacility n




d. Thepersonwhoisbeginningrehabilitationafterakneereplacement
ANS:B
Ascreeningassessmentisperformedforthepurposeofdiseasedetection.Inthiscasethisperson
n n




vmayhavediabetesmellitus.Ashiftassessmentismostappropriateforthepersonwhoisrecoveringin
v n n n




v thehospitalfromsurgery.Acomprehensiveassessmentisperformedduringadmissiontoafacilityto
v n n




obtainadetailedhistoryandcompletephysicalexamination.Anepisodicorfollow-
vv n




upassessmentisperformedafterkneereplacementtoevaluatetheoutcomeofthe procedure.
v v v v v v v v




DIF:CognitiveLevel:Understand REF:Box1-3
TOP:NursingProcess:Assessment
vv n




MSC:NCLEXPatientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare:Establishing
v n n




Priorities
vv




4. Forwhichpersonisashiftassessmentindicated?
n




a. Thepersonwhohadabdominalsurgeryyesterday
b. Thepersonwhoisunawareofhishighserumglucoselevels
c. Thepersonwhoisbeingadmittedtoalong-termcarefacility n




d. Thepersonwhoisbeginningrehabilitationafterakneereplacement
ANS:A
Ashiftassessmentismostappropriateforthepersonwhoisrecoveringinthehospitalfrom
n




surgery.Ascreeningassessmentisperformedforthepurposeofdiseasedetection,inthiscase
v v




diabetesmellitus.Acomprehensiveassessmentisperformedduringadmissiontoafacilityto
vv n n




obtainadetailedhistoryandcompletephysicalexamination.Anepisodicorfollow-upassessment
vv n




isperformedafterkneereplacementtoevaluatetheoutcomeoftheprocedure.
vv n




DIF:CognitiveLevel:Understand REF:Box1-3
TOP:NursingProcess:Assessment
vv n




MSC:NCLEXPatientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare:Establishing
v n n n




Priorities
vv




5. Forwhichpersonisacomprehensiveassessmentindicated?
a. Thepersonwhohadabdominalsurgeryyesterday
b. Thepersonwhoisunawareofhishighserumglucoselevels
c. Thepersonwhoisbeingadmittedtoalong-termcarefacility n




d. Thepersonwhoisbeginningrehabilitationafterakneereplacement
ANS:C
Acomprehensiveassessmentisperformedduringadmissiontoafacilitytoobtainadetailed
historyandcompletephysicalexamination.Ashiftassessmentismostappropriatefortheperson
vv




whoisrecoveringinthehospitalfromsurgery.Ascreeningassessmentisperformedforthe
vv n




purposeofdiseasedetection,inthiscasediabetesmellitus.Anepisodicorfollow-upassessment
vv n n n n




isperformedafterkneereplacementtoevaluatetheoutcomeoftheprocedure.
vv n

, DIF:CognitiveLevel:Understand REF:Box1-3
TOP:NursingProcess:Assessment
vv n




MSC:NCLEXPatientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare:Establishing
v n n n




Priorities
vv




6. Forwhichpersonisanepisodicorfollow-upassessmentindicated?
a. Thepersonwhohadabdominalsurgeryyesterday
b. Thepersonwhoisunawareofhishighserumglucoselevels
c. Thepersonwhoisbeingadmittedtoalong-termcarefacility n




d. Thepersonwhoisbeginningrehabilitationafterakneereplacement
ANS:D
Anepisodicorfollow-upassessmentisperformedafterthekneereplacementtoevaluatethe
outcomeoftheprocedure.Ashiftassessmentismostappropriateforthepersonwhoisrecovering
vv n n




vinthehospitalfromsurgery.Ascreeningassessmentisperformedforthepurposeofdisease
v




detection,inthiscasediabetesmellitus.Acomprehensiveassessmentisperformedduring
vv n




admissiontoafacilitytoobtainadetailedhistoryandcompletephysicalexamination.
vv n




DIF:CognitiveLevel:Understand REF:Box1-3
TOP:NursingProcess:Assessment
vv n




MSC:NCLEXPatientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare:Establishing
v n n n




Priorities
vv




7. Whichisanexampleofdataanursecollectsduringaphysicalexamination?
a. Thepatient‘slackofhairandshinyskinoverbothshins
b. Thepatient‘sstatedconcernaboutlackofmoneyforprescriptions
n




c. Thepatient‘scomplaintsoftinglingsensationsinthefeet
n




d. Thepatient‘smother‘sstatementsthatthepatient isverynervouslately v v




ANS:A
Thelackofhairandshinyskinoverbothshinsareobjectivedataorsignsthatarepartofthephysical n




vexamination.Apatient‘sconcernsaboutlackofmoneyaresubjectivedataandarepartofthehealth
v n




vhistory.Apatient‘scomplaintsoftinglingsensationsinthefeetaresubjectivedata
v n n n n




andarepartofthehealthhistory.Apatient‘sfamilystatementsareconsideredsecondarydata,are
vv




subjectivedata,andarepartofthehealthhistory.
vv




DIF:CognitiveLevel:Apply REF: vBox 1-3
v n




TOP:NursingProcess:Assessment
vv




MSC:NCLEXPatientNeeds:PhysiologicalIntegrity:ReductionofRiskPotential:System Specific
n n




Assessments
vv




8. Thenursedocumentswhichinformationinthepatient‘shistory?
a. Thepatient‘sskinfeelswarmtothetouch.
n




b. Thepatientisscratchinghisarm.
c. Thepatient‘stemperatureis100F.
n




d. Thepatientcomplainsofitching.
ANS:D

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