NUR 3066C Health Assessment Latest Update -

NUR 3066C Health Assessment Latest Update - Actual Exam 350 Questions and 100% Verified Correct Answers Guaranteed A+

**Adaptations of health history for the CHILD - CORRECT ANSWER: The most important point about a child's assessment is GROWTH, MILESTONES, and CURRENT DEVELOPMENT. Are they meeting their milestones. What is their current development?

Assess parent's coping ability and family support

Health history includes information specific for age and developmental level of child; signs and symptoms include effect on activity, eating, etc.

**Core Temperature - CORRECT ANSWER: •An adult's internal temperature is called this...

•Rectal and tympanic sites measures this...

• degree higher than oral temperature

A normal assessment findings for HAIR - CORRECT ANSWER:

A normal assessment findings for NAILS - CORRECT ANSWER:

A normal assessment findings for SKIN - CORRECT ANSWER: • skin tone is consistent with genetic background, varies from pinkish tan to ruddy dark tan, or from light to dark brown, and may have yellow or olive overtones

ABCDE Skin Assessment - CORRECT ANSWER: •Danger signs: Abnormal characteristics of pigmented

lesions are ABCDE rule:

•A: Asymmetry 1 / 4

•B: Borders Irregularity

•C: Changes in color

•D: Diameter over 1/4in or 6mm

•E: Evolving/elevation and enlargement

Abnormal assessment findings for SKIN - CORRECT ANSWER: •widespread color change, note if transient or due to pathology

•Note color change over entire body skin, such as pallor (pale), erythema (red), cyanosis (blue), or jaundice (yellow)

•In dark-skin person, amount of normal pigment may mask color change.

• Where is the best place to assess in dark-skin person?

Abnormal nails - CORRECT ANSWER: Clubbing---angle is greater than 160 degrees (this is abnormal & occurs in heart or pulmonary disease, lung cancer)

Sluggish color return takes longer than 3 seconds

Abnormal pupils - CORRECT ANSWER: When the size of both pupils do not match; one is bigger than the other.

Accommodation - CORRECT ANSWER: the process by which the eye's lens changes shape to focus near or far objects on the retina

Able to touch my finger with your finger

Achilles reflex - CORRECT ANSWER: Foot plantar flexing againist your hand is the normal response

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Acrocyanosis - CORRECT ANSWER: Temporary cyanotic condition, usually in newborns resulting in a bluish color around the lips, hands and fingernails, feet and toenails. May last for a few hours and disappear with warming.

Action cues - CORRECT ANSWER: posture, facial expression, and gestures

acute pain - CORRECT ANSWER: short-term, self-limiting, often predictable trajectory; stops after injury heals

Adaptations of health history for the ADOESCENT - CORRECT ANSWER: HEEADESS is psychosocial interview

Method of interviewing focuses on assessment of Home environment Education and employment Eating peer-related Activities Drugs Sexuality Suicide Depression Safety from injury and violence

Adaptations of the health history for the older ADULT - CORRECT ANSWER: Includes same format descried for younger adults, plus additional questions related to functioning, chronic problems.

Alopecia - CORRECT ANSWER: hair loss

An abnormal assessment findings for HAIR - CORRECT ANSWER:

An abnormal assessment findings for SKIN (Temperature) - CORRECT ANSWER: •Hypothermia 3 / 4

•Hyperthermia

Anaphylaxis (shock) - CORRECT ANSWER: Severe, potentially fatal allergic response that occurs shortly after drug is given

Apnea - CORRECT ANSWER: absence of breathing

Assess Lesions - CORRECT ANSWER: •Inspect & palpate lesions

•Note color, elevation, pattern or shape, size, location and distribution on body, any exudate, odor

•Assessment of dark skin---lesions that appear red or brown on light skin often are black or purple on dark skin

Assessment - CORRECT ANSWER: •What do I think the problem is?

•Nurse's interpretation of data relative to patient issue

Assessment of alcohol use - CORRECT ANSWER: CAGE screening questionnaire: Have you ever...(1) thought you should CUT down your drinking?(2) been ANNOYED by criticism of your drinking?(3) felt GUILTY about your drinking?(4) Do you drink in the morning, an EYE opener?

Assessment of illicit or street drug use - CORRECT ANSWER: Ask about type of drug, frequency of use, last time taken, effects on work and family.

Examples: oxycodone/Vicodin, cocaine, crack cocaine, amphetamines, heroin, marijuana

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