Exam 1 NUR 229 Review Questions and Correct Answers
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Course
NUR 229
Institution
NUR 229
What is problem-based/focused health assessment? - Returning patient with new problem - Focused on body systems impacted
What is episodic/follow-up health assessment? - Follow-up for chronic condition - Ex: high BP, diabetes - Checkup
What is shift health assessment? - Comprehensive at the beginn...
Exam 1 NUR 229 Review Questions and
Correct Answers
What is problem-based/focused health assessment? ✅- Returning patient with new
problem
- Focused on body systems impacted
What is episodic/follow-up health assessment? ✅- Follow-up for chronic condition
- Ex: high BP, diabetes
- Checkup
What is shift health assessment? ✅- Comprehensive at the beginning of a shift
- Shift assessment - not as in-depth
- Focused on body parts with abnormal results
What is screening health assessment? ✅- Screening for specific disorders
- Short visit
- Ex: High BP, high cholesterol
What are the 4 basic assessment techniques? ✅1. Inspection
2. Palpation
3. Percussion
4. Auscultation
What is inspection? ✅- What you're seeing/observing in your patient
- Document how they look (ex: short of breath, not making eye contact)
What is palpation? ✅- Superficial (ex: stomach/abdomen or pain)
- Deep (major organs are palpated)
What is percussion? ✅- Direct: Strike something directly with hands/fingers;
uncommon
- Indirect: Utilize a tool to strike a patient; advanced practice (ex: obtaining reflexes)
What is auscultation? ✅- Listen with stethoscope to auscultate sounds underneath
skin
- Ex: heart, lung, and stomach sounds
- On the SKIN, not over clothing
The normal range for temperature is ✅96.4-99.1 degrees Fahrenheit, 35.8-37.3
degrees Celsius
- Different methods to obtain
, _____________ is elevated temperature or fever ✅Febrile
_________________ is a temperature within the normal range and no fever ✅Afebrile
The normal range for pulse in adults is ✅60-100 BPM
The normal respiratory rate range in adults is ✅12-20
- Assess rate, rhythm, depth
The normal range for blood pressure in adults is ✅Systolic: 90-140mmHg, Diastolic:
60-90mmHg
__________________ = systolic/diastolic are elevated ✅Hypertension
__________________ = systolic and/or diastolic are below normal range
✅Hypotension
What is considered the 5th vital sign? ✅Pain
How is pain rated? ✅- Scale of 1-10
- Faces - pediatrics, non-verbal, numable to gauge scale, don't speak English
Oxygen saturation in adults should be ✅97% or higher
- Obtained via a finger probe
- Typically no interventions unless below 90%
- Amount of oxygenated hemoglobin in the bloodstream - receiving enough O2 in
tissues
The first phase of an interview is _________________ where you introduce each other,
your role and purpose, and gain or establish trust ✅introduction
The second phase of an interview is ________________, the bulk of health history
✅discussion
The third phase of an interview is _________________ which summarizes the patient's
priority/needs and establishes next steps ✅summary
The single most important factor for successful interviewing is establishing
___________ to gain client's trust ✅rapport
An _________________ question encourages free flow and elicits responses of 1-2
words ✅open-ended
A ___________________ question yields more precise data ✅close-ended
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