Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson. 100% Correct Answers Latest Updated Examination Study Guide

Test Bank for Health Assessment
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forNursing Practice 7th Edition by
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Wilson. II




100% Correct Answers
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II Latest Updated Examination Study
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Guide II

,Test Bank for Health Assessment for Nursing Practice7th
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Edition by Wilson.
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,Chapter 01: Introduction to Health Assessment II II II II II




MULTIPLE CHOICE II




1. A patient comes to the emergency department and tells the triage nurse that heis
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“having a heart attack.” What is the nurse’s top priority at this time?
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a. Determine the patient’s personal data II II II II



andinsurance coverage. II I II




b. Ask the patient to take a seat in the II II II II II II II II



waitingroom until his name is called. II I II II II II II




c. Request that a nurse collect data for II II II II II II



acomprehensive history. II I II




d. Ask a nurse to start a focused II II II II II II



assessmentof this patient now. II I II II II




ANS: D II



The nurse needs to begin an assessment as soon as possible that is focused on this
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patient’scardiovascular system. The type of health assessment performed by the nurse is
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also drivenby patient need. Personal data and insurance information will be obtained, but
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in this situation, these data can wait until after the patient is assessed. Based also on
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Maslow’s hierarchy of needs, physiologic needs take precedence. Rather than asking the
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patient to wait, the nurse needs to begin data collection, such as vital signs, immediately to
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determinethe patient’s health status. Complications can be prevented if an immediate
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assessment is made to analyze the patient’s symptoms. A comprehensive history is not
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indicated in this situation at this time. Some subjective data will be collected, such as
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allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
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musculoskeletal or mental health assessment is not a priority at this time.
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DIF: Cognitive Level: Apply
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3TOP: Nursing Process: Assessment
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, Test Bank for Health Assessment II II II II




forNursing Practice 7th Edition by
II I II II II II




Wilson. II




100% Correct Answers II I I




II Latest Updated Examination Study II II II II




Guide
.
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
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Care:Establishing Priorities
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2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for the II II II II II II II



first time and the nurse conducts a II II II II II II II



detailedhistory and physical examination. II I II II II




b. A hospital sponsors a health fair at a II II II II II II II



localmall and provides cholesterol and II I II II II II



blood pressure checks to mall patrons. II II II II II II




c. The nurse in an urgent care center II II II II II II



checksthe vital signs of a patient who is II I II II II II II II II



complaining of leg pain. II II II II




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