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Voorbeeld 4 van de 51 pagina's
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NR302- Health Assessment 1- Week 1 eDapt Review Questions and Answers (100% Correct Answers) Already Graded A+

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Voorbeeld 4 van de 51 pagina's

NR302- Health Assessment 1- Week 1 eDapt Review Questions and Answers (100% Correct Answers) Already Graded A+

Voorbeeld van de inhoud

1




NR302- Health Assessment 1- Week
1 eDapt Review Questions and
Answers (100% Correct Answers)
Already Graded A+


Which assessment findings require immediate action by the
© 2026 Assignment




nurse?
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Drag the choices from the bottom and drop them under the
Expert




appropriate category of requiring or not requiring immediate
action. Ans: Require Immediate Action:


The person is breathing so quickly they are unable to speak.


The individual is unresponsive.

Not require Immediate Action:


A toddler is clinging to the client's leg.


The person reports being in pain.


The client is clutching their abdomen.


RATIONALE: Immediate action is required for findings that
indicate the client is in danger of losing their life. This
includes an individual who is unresponsive, is having
difficulty breathing, or does not have a pulse.

, 2


How do health professionals protect the client's private
information when using a hard copy medical record? Select all
that apply. Ans: Return the medical record to the designated
storage area.


Close the medical record when entering the client's room.
Shield identifying information from view by visitors.


RATIONALE: Safeguarding the privacy of health information is
a fundamental responsibility of all health providers. Although
hard copy, or paper, medical records are not used frequently,
© 2026 Assignment




the health professionals who use them have the responsibility
to protect the private health information they contain. To do
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this, open records should be shielded from the view of others,
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the record should be closed when entering the client’s room
and remain closed unless being actively used. All physical
medical records should be returned to a designated storage
area.


Only those directly involved in caring for the client should
review the medical record. The client has a right to look at
their own record, but that right is not extended to family or
friends without consent from the client. The exception to this
is for custodial caregivers and parents or legal guardians of
minors.


Although the security of health records is a high priority, they
must remain available to the entire care team. Locking records
in an individual’s desk may limit access, delay care, and
negatively impact client safety.


Identify the major components of the complete health
assessment by dragging the correct options from the left side
to the right side column. Ans: Health Assessment
Components:

, 3


Health history

physical assessment


discharge teaching


setting realistic goals


interpretation of data.
© 2026 Assignment




correct major components:
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health history
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physical assessment


interpretation of data


RATIONALE: The complete health assessment includes a health
history, physical assessment, and interpretation of data to
determine if further assessment is needed.

Although the information collected during the complete health
assessment is used to set goals for the client’s health and
identify teaching needs, those aspects of care are not part of
the complete health assessment.


When entering the room to perform a complete health
assessment on a new client, the nurse finds the client and
family standing around an unlicensed assistive personnel
(UAP) who is lying on the floor.


What is the priority action for the nurse? Ans: Assess the
UAP.

, 4


RATIONALE: In this situation, you may have struggled to select
one of two answers: assess the UAP or ask what happened. The
key to deciding which to select is often to answer this
question, “If I can only do one thing to help, what would it
be?” When a person appears to be unresponsive, the one action
to take is to assess the person who may be experiencing a
health emergency, even if is not the client. Of course, most
health professionals would be assessing the UAP while asking
the client what happened. The correct answer is based on the
fact that only asking what happened while not assessing is not
in the individual’s best interest.
© 2026 Assignment




Moving the client or phoning for an emergency response
(calling 911 in the US) are not priorities for the UAP at this
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time and could delay treatment.
Expert




In which situations does the nurse collect data as part of an
assessment? Select Yes if data is being collected or No if data
is not being collected. Ans: Yes to ALL OPTIONS


During the complete health assessment


When administering medication


When asking questions from the client partner


While reading the nurse practitioner admission note


As they pass the individual walking in the hallway


RATIONALE: Healthcare providers assess needs and current
status during every encounter with the client and family
members. Assessment is not limited to the initial or follow-up
assessments, but to any time when cues to the client’s health,
health-related needs, and current status can be observed or

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