BSN 246 HESI HEALTH ASSESSMENT V1.docx

BSN 246 HESI HEALTH ASSESSMENT
V1

Theponursepoispoperformingpoapothoracicpoassessmentpoonpoapoclientpowithpochronicpoasthm
apoandpohyperinflationpoofpothepolungs.poWhichpofindingposhouldpobepoexpectedpoforpothispocl
ient?po-poans--Barrelpochest

Theponursepoispoassessingpobowelposoundspoforpoapohospitalizedpoclient.poTheponursepohasp
oheardpobowelposoundspoinpotheporightpoupperpoquadrant.poWhatpoactionposhouldpotheponurs
epotakeponext?po-poans--Notepothepocharacterpoandpofrequencypoofpobowelposounds

Duringpoinspectionpoofpoapoclient'spomouthpoandpopharynx,potheponursepoplacespoapotonguep
obladepoonpothepobackpoofpothepotonguepowhichpocausespothepoclientpotopogag.poAfterporemov
ingpothepotonguepoblade,powhatpoactionposhouldpotheponursepotake?po-poans--
Documentpoanpointactpogagporeflex.

Whenpoteachingpoapoclientpohowpotopoperformpoapomonthlypobreastpoself-
assessment,potheponurseposhouldpotellpothepoclientpothatpoitpoispomostpoimportantpotopoasses
spowhichpopartpoofpothepobreastpomorepocloselypoforpochanges?po-poans--
Upperpoouterpoquadrant.

TheponursepoispoassessingpoapopostmenopausalpoclientpowhopohaspoapoBMIpoofpo32.poThepoc
lientpohaspoapochestpomeasurementpoofpo42poinches,powaistpomeasurementpoofpo45poinches,
poandpohippomeasurementpoofpo50poinches.poWhatpoimportantpomessageposhouldpotheponurs
epoexplainpotopothepoclientpotopopromotepohealthpopromotion?po-poans--
Apowaistpocircumferencepoispogreaterpothanpo35poinchespoinpowomenpoputspoyoupoatpohigherp
oriskpoforpotypepo2podiabetespoandpoheartpodisease."


Theponursepoperformspoapophysicalpoassessmentpoonpoanpoolderpofemalepoclient.poWhichpoc
hangepofrompothepopriorpoexampomaypobepoanpoindicationpoofpoosteoporosis?po-poans--
Heightporeductionpoofpo1.5poinches.

Whilepoconductingpoanpointerviewpotopoobtainpoapohealthpohistory,potheponurseponoticespothat
pothepoclientpopausespofrequentlypoandpolookspoatpotheponursepoexpectantly.poWhichporespo
nsepoispobestpoforpotheponursepotopoprovide?po-poans--
Sitpoquietlypotopoallowpothepoclientpotoporespondpocomfortably.

Apoclientpoispoinpothepoclinicalpoforpoapoyearlypophysicalpoexamination.poWhichpoactionposhoul
dpotheponursepotakepowhenpopreparingpotopoexaminepothepoclient'spoabdomen?po-poans--
Askpothepoclientpotopourinatepobeforepobeginningpothepoexamination.

, Whichporespiratorypoconditionposhouldpotheponursepodocumentpoafterpomeasuringpoaporespir
atoryporatepoofpo8pobreaths/minute?po-poans--Bradypnea.

Whichpoprocedureposhouldpotheponursepousepotopoassessforpoapopulsepodeficit?po-poans--
Measurepothepoapicalpopulsepoandpocomparepoitpotopothepoperipheralpopulse.

*Apopulsepodeficitpoispoapopalpablepodifferencepobetweenpothepoapicalpopulsepoatpothepopointp
oofpomaximalpoimpulsepoandpotheporadialpopulsepopalpatedpoatpothepowrist.


Apoclientpohaspobeenpodiagnosedpowithpobilateralpolowerpolobepoatelectasis.poWhatpopercus
sionposoundposhouldpotheponursepoexpectpotopohearpowhenpopercussingpooverpothepoclient'sp
olowerpolobes?po-poans--Dull,pothud-like.


Apoclientpoispobeingpoassessedpouponpoadmissionpotopothepomedical-
surgicalpounit.poTheponursepoispopreparingpotopocompletepoapohead-to-
toepoassessmentpoandpowillpobeginpoatpothepoheadpoofpothepoclient.poWhichpotechniqueposho
uldpotheponursepousepotopobeginpothepoassessment?po-poans--Inspectpothepohairpoandposkin.

Theponursepoispoassessingpoapohealthypoyoungpoadultpoduringpoanpoannualpophysicalpoexam
ination.poWhichpoassessmentpotechniqueposhouldpotheponursepoimplementpowhenpopalpatin
gpothepoabdominalpoaorta?po-poans--
Deeppopalpationpoabovepoandpotopothepoleftpoofpothepoumbilicus.

Theponursepoispoconductingpoapofamilypohistorypoaspopartpoofpothepoassessmentpointerview.po
Whichpoactionposhouldpotheponursepotakepotopoensurepothatposufficientpoinformationpoaboutpo
thepoclient'spobloodporelativespoispoobtained?po-poans--
Documentpoatpoleastpo3pogenerationspoofpothepoclient'spofamilypomedicalpohistory.

Theponursepoispotestingpothepoclient'sposhoulderspoforporangepoofpomotion.poWhatposhouldpot
heponursepodocumentpotoporecordponormalpointernalporotation?po-poans--
Rangepoofpo90podegreespowhenpothepohandspoarepoplacedpoatpotheposmallpoofpothepoback.

Apoclientpopresentspowithpoaporashpoalongpothepooccipitalpoareapoofpothepohairlinepoandporepo
rtspointensepoitching.poHowposhouldpotheponursepobeginpothepoobjectivepopartpoofpothepoexam
ination?po-poans--Inspectpotheposcalppolookingpoforponits.

Theponursepoispoassessingpoapoclient'sporangepoofpomotionpoaspothepoclientpobendspotheporig
htpokneepouppotopothepochestpowhilepokeepingpothepoleftpolegpostraight,pobutpoispounablepotopok
eeppothepoleftpothighpoonpothepotable.poThepoassessmentpoisporepeatedpoforpothepoleftpoknee,
poandpothepoclientpoispounablepotopokeeppotheporightpothighpoonpothepotable.poHowposhouldpoth
eponursepodocumentpothispofinding?po-poans--
ApoflexionpodeformityporeferredpotopoaspoapopositivepoThomaspotest.

Duringpoaposkinpoasssessment,potheponurseponotes,poroundpoandpodiscretepolesionspothatpoa
repodarkporedpoinpocolorpoandpowillponotpoblanch.poThepolesionsporangepofrompo1potopo3pommpo