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holistic health assessment midterm Questions and answers With Complete Solutions
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holistic health assessment midterm Questions and answers With Complete Solutions
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holistic health assessment midterm Questions and answersWith Complete Solutions
ABNORMAL RESP RATES
Bradypnea
Tachypnea
Dyspnea
Apnea Correct Answer Bradypnea = <10 slow
Tachypnea = >20 rapid
Dyspnea
Difficulty breathing
Apnea
Not breathing at all for more than 10 seconds
accomodation Correct Answer Eyes have ability to change -
looking far and looking close
Pupils will dilate to allow for more light
Pupils will constrict to minimize light amount
Eyes will converge to have see close up (think of eyes coming
closer together)
Assess pt eyes to constrict or converge
actual (examples) Correct Answer anxiety
dehydration
constipation
malnutrition
,fatigue
insomnia
hypertension
pain
infection
additional blood pressure locations Correct Answer legs and
over popliteal artery
additional info nurses may ask...
functional assessment Correct Answer how is the pt's quality of
life affected by illness?
what are the pt's strengths and areas of improvement
does pt have cognitive impairment? = loss in intellectual
capacity?
assess pt's ability to perform ADL's
- bathing
- dressing
- eating
- using the toilet
- transferring
- continence
allergies .. " do you have any ______ allergies? Correct Answer
enviromental
food
seasonal
, latex
ask about pt's family history Correct Answer - does pt have
immediate family memebers?
- ask if pt's illness can be hereditary or any relevant history
based on pt's complaint
- did mom or dad have this condition?
Assessing the patients' ease of arousal Correct Answer Call
their name in normal or raised voice
Light touch on pt's arm
Vigorous Shake them on pt's shoulder
Pain applied (noxious stimuli, pinch pt's nail bed, pinch pts
trapezius muscle
DO NOT RUB ON PT'S STERNUM
Assessing the pupils' reaction Correct Answer perrla
accomodation
consensual testing
Asystole Correct Answer absence of a pulse
ausculatory gap Correct Answer a period when Korotkoff
sounds disappear during auscultation
Auscultation Correct Answer Listening with a stethoscope
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