test bank for health assessment

Correct Answer: D

Rationale: A focused assessment is more in-depth on specific issues, providing detailed information on a particular problem or concern. This allows for targeted interventions and treatment strategies. In contrast, a comprehensive assessment covers the body head to toe and involves all body systems, which may not be necessary when focusing on a specific issue. Occurring only in the clinic is a limitation to choice B, as assessments can be conducted in various settings. Involving all body systems, as stated in choice C, is not the primary focus of a focused assessment.

Correct Answer: B

Rationale: The correct answer is B because moving the wheelchair close and pivoting on the unaffected extremity is the safest way to transfer a client with hemiparesis. This method minimizes strain on the affected side and reduces the risk of falls. First, ensure the wheelchair is positioned close to the bed. Then, assist the client to pivot by placing weight on the unaffected side and using proper body mechanics. This technique maintains stability and prevents injury. Choice A is incorrect because standing and walking the client to the wheelchair puts excessive strain on the affected side, increasing the risk of falls. Choice C is incorrect as pivoting on the affected extremity can lead to injury and instability. Choice D is incorrect as having the client stand and push to the wheelchair can be dangerous and may cause further harm.

Correct Answer: A

Rationale: The correct answer is A: Administer epinephrine. Epinephrine is the first-line treatment for anaphylaxis as it helps to quickly reverse severe symptoms by constricting blood vessels and opening airways. Administering corticosteroids (B) is not the immediate priority. Placing the client on their side (C) is important to prevent aspiration but does not address the anaphylactic reaction. Monitoring blood pressure (D) is essential but administering epinephrine takes precedence in managing anaphylaxis.

Correct Answer: B

Rationale: The given ABG values fall within normal ranges, indicating homeostasis. The pH is within the normal range (7.35-7.45), indicating acid-base balance. The PO2 is slightly lower but still within the normal range (80-100 mmHg). PCO2 falls within the normal range (35-45 mmHg), showing effective ventilation. The HCO3 level is also within the normal range (22-26 mEq/L), indicating proper kidney function. Therefore, all values are within normal limits, reflecting a state of homeostasis. Other choices are incorrect as they suggest imbalances in acid-base status, which is not seen with these values.

Correct Answer: A

Rationale: The correct answer is A: Administer oxygen. This is the most important intervention for a client with an obstructed airway because it helps to ensure that the patient is receiving adequate oxygen supply to prevent hypoxia. Oxygen therapy can help maintain oxygen saturation levels and support proper gas exchange in the lungs. Monitoring respiratory rate (B) is important but not as critical as ensuring oxygen supply. Administering morphine (C) is contraindicated as it can depress respiratory function further. Administering fluids (D) is not the priority in managing an obstructed airway.