Test Bank - Health Assessment for Nursing Practice 7th Edition by Susan Fickertt Wilson All Chapters 1-20 Complete Guide A+

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Chapterg01:gIntroductiongtogHealthgAssessment




MULTIPLEgCHOICE

1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriagegnursegthatg
hegisg“havinggagheartgattack.”gWhatgisgthegnurse’sgtopgprioritygatgthisgtime?
a. Determinegthegpatient’sgpersonalgdatagan
dginsurancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitin
ggroomguntilghisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforg
agcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessme
ntgofgthisgpatientgnow.
ANS:gD
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatient
’sgcardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsogdri
vengbygpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthisg
situation,gthesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow’sgh
ierarchygofgneeds,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgtogw
ait,gthegnursegneedsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdetermine
gthegpatient’sghealthgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmentgis

gmadegtoganalyze gthegpatient’sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingthi
sgsituationgatgthisgtime.gSomegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgmedi
calghistorygrelatedgtogcardiovasculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalgor
gmentalghealthgassessmentgisgnotgagprioritygatgthisgtime.


DIF:gggCognitivegLevel:gApply REF:g Boxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment

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MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCar
e:gEstablishinggPriorities

2. Whichgsituationgillustratesgagscreeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgtheg
firstgtimegandgthegnursegconductsgagdetaile
dghistorygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgagloc
algmallgandgprovidesgcholesterolgandgbloo
dgpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergcheck
sgthegvitalgsignsgofgagpatientgwhogisgcomp
laininggofgleggpain.

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