health assessment exam 2 test bank

health assessment exam 2 test bank Related

Review health assessment exam 2 test bank related questions and content

Which of the following would be included in a total health database for a well person?

  • A. Nursing goals for the patient
  • B. Anticipated growth and development patterns
  • C. A patient's perception of his or her health status
  • D. The nurse's perception of disease as related to this patient
Correct Answer: C

Rationale: The correct answer is C: A patient's perception of his or her health status. In a total health database for a well person, it is important to include the patient's own perception of their health status as it provides valuable insights into their overall well-being and can help detect any potential health issues early on. This information is crucial for preventive care and promoting a patient-centered approach to healthcare.

A: Nursing goals for the patient - This information would be relevant for a patient with specific health goals or conditions but not necessarily for a well person.

B: Anticipated growth and development patterns - This information is more relevant for pediatric or adolescent populations rather than for a well adult.

D: The nurse's perception of disease as related to this patient - The nurse's perception is subjective and not as valuable as the patient's own perception in understanding their health status.

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A nurse is teaching a patient with diabetes about the importance of controlling blood glucose levels. Which of the following statements by the patient indicates the need for further education?

  • A. I will monitor my blood sugar regularly.
  • B. I can stop taking my insulin when my blood sugar is normal.
  • C. I will eat a balanced diet and exercise regularly.
  • D. I will avoid sugary foods to manage my blood sugar.
Correct Answer: B

Rationale: The correct answer is B because stopping insulin when blood sugar is normal can lead to hyperglycemia.
A: Monitoring blood sugar is essential for diabetes management.
C: Eating balanced diet and exercising help control blood sugar levels.
D: Avoiding sugary foods is important to manage blood sugar.

A nurse is caring for a patient with diabetes who is experiencing hypoglycemia. The nurse should prioritize which of the following interventions?

  • A. Administering insulin.
  • B. Providing a source of fast-acting carbohydrate.
  • C. Administering an oral hypoglycemic agent.
  • D. Monitoring the patient's blood pressure.
Correct Answer: B

Rationale: The correct answer is B: Providing a source of fast-acting carbohydrate. In hypoglycemia, the priority is to quickly raise the patient's blood sugar levels to prevent potential complications like seizures or loss of consciousness. Fast-acting carbohydrates, such as glucose tablets or juice, can rapidly increase blood sugar levels. Administering insulin (A) would further lower blood sugar levels, worsening the situation. Administering an oral hypoglycemic agent (C) is not appropriate in an acute hypoglycemic episode. Monitoring blood pressure (D) is important but not the priority in this situation.

A nurse is caring for a patient with a history of asthma. The nurse should educate the patient to avoid which of the following triggers?

  • A. Exercise-induced asthma.
  • B. Cold, dry air.
  • C. Caffeine.
  • D. Environmental allergens.
Correct Answer: B

Rationale: The correct answer is B: Cold, dry air. Cold, dry air is a common trigger for asthma exacerbations, as it can irritate the airways and lead to bronchoconstriction. This trigger can worsen asthma symptoms and increase the risk of an asthma attack. Educating the patient to avoid cold, dry air can help prevent asthma flare-ups.

Explanation for why the other choices are incorrect:
A: Exercise-induced asthma is triggered by physical activity but can be managed with proper warm-up and medication. It is not typically something to avoid altogether.
C: Caffeine is a mild bronchodilator and can actually help alleviate asthma symptoms in some cases.
D: Environmental allergens can trigger asthma in some individuals, but they vary from person to person, so avoidance strategies would depend on specific allergens identified through testing.

The nurse is taking a patient's family history. Important diseases or problems to ask the patient about include:

  • A. emphysema.
  • B. head trauma.
  • C. mental health issues.
  • D. fractured bones.
Correct Answer: C

Rationale: The correct answer is C: mental health issues. When taking a family history, mental health issues are important as they can have a genetic component and can impact the patient's overall health. Emphysema (A) is a respiratory condition, head trauma (B) is not typically hereditary, and fractured bones (D) are usually due to accidents or osteoporosis, not genetic.

A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment of his skin, the nurse would expect to find which of the following?

  • A. Anasarca.
  • B. Scleroderma.
  • C. Pedal erythema.
  • D. Clubbing of the nails.
Correct Answer: D

Rationale: The correct answer is D: Clubbing of the nails. Clubbing is a physical finding associated with chronic respiratory conditions like emphysema and bronchitis. It is characterized by the softening of the nail bed and the loss of the normal angle between the nail and the nail bed. This occurs due to chronic hypoxia and can be a sign of advanced lung disease. Anasarca (choice A) is generalized edema, not specific to respiratory conditions. Scleroderma (choice B) is a connective tissue disorder affecting the skin and other organs, not directly related to respiratory conditions. Pedal erythema (choice C) refers to redness of the feet and is not a typical finding in emphysema or bronchitis.

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