Health Assessment in Nursing – Final Exam |
Complete Questions + Verified A+ Answers
Questions and Mark scheme
Version: Final 1.1
,cholesterol - ✔✔important to normal bodily functions; necessary component of bile salts that aid in digestion
proteins - ✔✔important to provide structure to and to regulate the body's cells, tissues, and organs, good for muscle
rebuilding; not a good source of energy
BMI - ✔✔
Ideal body weight - ✔✔see page 233
body mass index - ✔✔see page 233
pitting edema - ✔✔1- mild pitting edema
2- moderate pitting, indentation
subsides equally
3- deep pitting, indentations
remain short amt of time; legs look swollen
4- very deep pitting
indentations last long time
preparing for assessment - ✔✔-know the client's basic biographical data (sex, age, religion, education level, and
occupation)
-review medical record
-avoid premature judgements
-gather equipment needed
collecting objective data - ✔✔-physical characteristics (skin color, posture)
-body functions (heart rate, resp. rate)
-appearance (dress and hygiene)
-behavior (mood, affect)
-measurements (blood pressure, temperature, height, weight)
-results of lab testing (platelet count, x-ray finding)
, data analysis - ✔✔seven steps:
-identify abnormal data and strengths
-cluster the data
-draw inferences and identify problems
-propose possible nursing diagnoses
-check for defining characteristics of those diagnoses
-confirm or rule out nursing diagnoses
-document conclusions
when giving an IM injection do you pull back? - ✔✔you do not pull back as of a year ago; the purpose of pulling back is
to make sure you are not in a vessel before you inject the medication
nonverbal communication - ✔✔-appearance
-demeanor
-facial expression
-attitude
-silence
-listening
-posture
verbal communication - ✔✔-open-ended questions
-close-ended questions
-laundry list (provide list of words to choose to describe condition, feelings)
-rephrasing (to clarify info)
-well-placed phrases ("uh-huh", "yes", "I agree") so pt knows you are listening
-inferring
-providing information
inspection - ✔✔using the senses of vision, smell, and hearing to observe and detect any normal or abnormal findings
guidelines for inspection - ✔✔-make sure room is comfortable temp