CHAP 1 HEALTH ASSESSMENT
emergency
A client admitted with hyperthyroidism develops life-threatening symptoms—high fever (104° F/40° C), tachycardia (150 bpm), and elevated blood pressure (200/105 mm Hg)—prior to receiving radioactive iodine treatment. What type of assessment should the nurse perform on this client?
the clients feelings of happiness
A community health nurse is assessing an older adult client in their home. When the nurse is gathering subjective data, which of the following would the nurse identify?
To determine any changes from the baseline data
A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial assessment?
evaluate out come
A nurse reviews the vital signs of a client: ● 0800: temperature: 99.5° F (37.5° C), heart rate: 85 regular; blood pressure: 110/60; 02 saturation: 95% room air ● 1200: temperature: 99.7° F (37.6° C), heart rate: 88 regular; blood pressure 112/62; 02 saturation: 90% room air ● 1230: temperature: 99.9° F (37.7° C), heart rate 87 regular; blood pressure 115/64; 02 saturation: 88% room air The nurse applies oxygen to the client. What action should the nurse take next?
the importance of using a condom when engaging in sexual activity
During a health assessment, the nurse learns that an adolescent is sexually active. What information can the nurse provide the client in order to support the Healthy People 2030 indicator of responsible sexual behavior?
reassess previously detected problems
Following completion of the comprehensive health assessment, the nurse periodically performs a partial assessment primarily for which reason?
participating in a client care conference
Nurses provide both direct and indirect care. What is an example of indirect care?
head to toe
The preceptor of the student nurse is explaining the assessment that is considered the most organized for gathering comprehensive physical data. What assessment is the preceptor talking about?
focused assessment
a client comes to the health care provider's office for a visit. The client has been seen in this office on occasion for the past 5 years and arrives today complaining of a fever and sore throat. Which type of assessment would the nurse most likely perform?
focused
a home health nurse is visiting a client who recently was hospitalized for repair of a fractured hip. The client tells the nurse, "I have had a lot of pain in my abdomen." What type of assessment would the nurse conduct?
