HESI HEALTH ASSESSMENT LATEST 2024

HESI HEALTH ASSESSMENT LATEST 2024 SOAP modified format - ANSWERSSubjective Objective Assessment Plan What color ink should be used when documenting on paper - ANSWERSPermanent black ink What is the correct order for vital signs - ANSWERST, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation - ANSWERSPatient initials and date and time of entry What should be at the end of every documentation entry - ANSWERSInterviewers signature How do you correct a mistake in documentation - ANSWERS1) Draw a single line through the incorrect documentation 2) Write error above the entry 3) Initial and date the crossed out entry Documentation tips - ANSWERS1) Avoid complete sentences 2) Do not use A, an, the 3) Do not put opinion in notes 4) Avoid use of normal or within normal limits Normal oral temp range - ANSWERS96.4 - 99.1 F Febrile - ANSWERSWith fever Afebrile - ANSWERSWithout fever Hyperthermia symptoms - ANSWERS1) Cessation of shivering 2) Bradycardia 3) Decrease in respiratory minute volume Most common and easy method of assessing temperature - ANSWERSOral What methods of assessing temperature reflects core temperature - ANSWERS1) Oral 2) Rectal 3) Tympanic 4) Temporal Artery What is the least accurate method of assessing temperature - ANSWERSaxillary Which patients are contraindicated for rectal temperature readings - ANSWERSPatients with increased HR HESI HEALTH ASSESSMENT LATEST 2024 Preferred method of taking infants and small children's temperatures - ANSWERSRectal Pulse deficit - ANSWERS- Difference between apical peripheral pulse Pulse amplitude scale - ANSWERS0 = no pulse 1 = diminished, weak 2 = normal and expected 3 = full or strong 4 = bounding Which pulses are assessed during a routine physical assessment? - ANSWERS1) Apical 2) Radial 3) Dorsalis pedis 4) Posterior tibialis Normal heart rate in resting adult - ANSWERS60 to 100 bpm Well trained athletes heart rate - ANSWERSHeart rate less than 60 bpm When is it normal for someone to have a rapid heart rate over 100 bpm - ANSWERSSomeone with anxiety and right after exercise Eupnea - ANSWERSNormal RR, rhythm and depth Normal SPO2 value - ANSWERS95-100% What level is poor oxygenation - ANSWERSbelow 90% Systolic BP - ANSWERSMaximum pressure on the artery during ventricular contraction Diastolic BP - ANSWERSResting pressure during ventricular filling Pulse pressure - ANSWERSDifference between systolic and diastolic Stroke volume - ANSWERSAmount of blood ejected with each beat How does age affect BP - ANSWERSBP increases with age What BP is pre hypertensive? - ANSWERSSustained BP over 120/80 What extremities should you avoid taking a BP in - ANSWERSExtremities with IV lines, invasive lines, history of mastectomy/lymph node issues Orthostatic hypertension - ANSWERS- Decreased BP with change in position - Drop in SBP of 25 mmHg or DBP of 10 mmHG HESI HEALTH ASSESSMENT LATEST 2024 - Symptoms 1) Dizziness 2) Weakness 3) Blurred vision 4) Syncope 5) Changes in BP/HR - Causes 1) Hypovolemia 2) Impaired vasoconstriction 3) Medications Precautions in someone with orthostatic hypertension - ANSWERS- change positions slowly - falls risk - assist back to bed if symptomatic What is the main objective of the health history - ANSWERS- To gather accurate information to provide immediate care - Establish rapport with the client What does establishing a positive patient relationship depend on - ANSWERS1) courtesy 2) comfort 3) connection 4) confirmation 5) confidentiality What questions should you begin with for a health history interview - ANSWERSOpen ended questions Approaching Sensitive Issues - ANSWERS- Use language that is understandable. - Do not apologize for broaching the issue. - Ensure privacy. - Be direct and firm. - Do not preach. - Do not push too hard. CAGE questionnaire - ANSWERSCutting down Annoyance Guilty feeling Eye-openers - Helps diagnose alcoholism TACE questionnaire - ANSWERST - how many drinks does it TAKE to make you feel right A - Have people ANNOYED you by criticizing your drinking C - Have you felt you out to cut down on your drinking E - Have you had an EYE -OPENER first thing in the morning