NSG 121 exam 1 Health Assesment Latest Update - Sources with 150 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
3 common types of nursing assessments - CORRECT ANSWER: emergency
comprehensive focused
abdomen only - CORRECT ANSWER: inspect, auscultate, percuss, palpate
accuracy of documentation - CORRECT ANSWER: description should be as clear and
precise as possible
acetaminophen and alcohol - CORRECT ANSWER: 2 or more drinks per day can
increase liver toxicity -8 tabs per day for older adults
active listening - CORRECT ANSWER: the ability to focus on patients and their
perspectives
adult vital signs - CORRECT ANSWER: average 70-75HR
normal range 60-100bpm BP 120/80mmhg RR 12-20bpm
All life-threatening problems identified during the initial assessment require the initiation of critical interventions: - CORRECT ANSWER: Provide assistance with circulation (cardiopulmonary resuscitation if needed). 1 / 3
Open the patient's airway.Assist the patient's breathing.Protect the cervical spine if the patient is injured.Ensure that the disoriented or suicidal patient is safe.Provide pain management and sedation.
Antibiotics and dairy products - CORRECT ANSWER: milk, yogurt, and cheese can
delay or prevent the absorption of antibiotics Take these antibiotics 1 hour before or 2 hours after a meal
assessment for violence and abuse - CORRECT ANSWER: put client's safety first
do not question in front of friends or family establish rapport & ask question simply and directly do not assume who abuser is do not ask about police or pressing charges
auscultation - CORRECT ANSWER: the act of listening with a stethoscope to sounds produced within the body
axillary temperature - CORRECT ANSWER: 35.9°-36.9°C (96.7°-98.5°F)
Infants, young children, and patients with impaired immune systems
basic theories of pain (gate control theory) - CORRECT ANSWER: 1. Continued painful stimulus on a peripheral neuron causes the "gate" to open through depolarization of the nerve fiber. This is accomplished by ion influx and outflow.
- The pain stimulus then passes from the peripheral nervous system at a synaptic
- The pain stimulus passes across to the dorsal horn and then up the spine to the
junction to the central nervous system up the afferent nerve pathways.
structures of the limbic system and the cerebral cortex. 2 / 3
- In the cerebral cortex, the stimulus is identified as pain and a response is created.
The response, once generated, passes down the efferent pathways where reaction to the pain is created.
beginning phase - CORRECT ANSWER: Introduce yourself by name and state the
purpose of the interview; can use neutral topics like weather to relax patient
biased questions - CORRECT ANSWER: carry judgment and lead patients to respond
in a way that they think will be acceptable to you; cause patients to feel guilty or inferior about unhealthy behaviors
NONTHERAPEUTIC
Biot's respirations - CORRECT ANSWER: varying depth and rate of breathing, followed by periods of apnea; irregular
body systems assessment - CORRECT ANSWER: tool for organizing data when
documenting and communicating findings; promotes critical thinking
BP levels in adults (18 and older) - CORRECT ANSWER: normal <120/<80
elevated 120-129/<80 hypertension stage 1 130-139 or 80-89 hypertension stage 2 ≥140 or ≥90 hypertensive crisis >180 and/or >120
Calcium-channel blockers and grapefruit - CORRECT ANSWER: Grapefruit latches onto an enzyme called CYP3A4, which alters the breakdown of the calcium-channel blockers, possibly resulting in excessively high blood levels of the drug.-muscle fiber breakdown, kidney failure, muscle pain, liver damage, constipation, gas, heartburn, headache, diarrhea, fatigue
caring - CORRECT ANSWER: encompasses your empathy for and connection with the
patient
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