jarvis health assessment test bank -Nurselytic

Questions 84

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jarvis health assessment test bank Questions

Question 1 of 5

Which action should be performed first when assessing a hospitalized patient with shortness of breath?

Correct Answer: C

Rationale: The correct action is to obtain baseline information first, then do a complete assessment (
Choice
C). This is important as it allows the healthcare provider to gather initial vital signs and key information before proceeding with a thorough assessment. By obtaining baseline information first, the healthcare provider can assess the patient's current status and identify any urgent needs requiring immediate attention. This approach helps in prioritizing the assessment and subsequent interventions.

Examining only the body areas related to the problem (
Choice
A) may lead to missing important clues to the patient's condition. Obtaining a thorough history and physical assessment from the family (
Choice
B) can provide valuable information but should not be the first step in assessing the patient's immediate needs. Examining the entire body to determine if the problem is linked to something else (
Choice
D) is not the most efficient approach as it may delay identifying and addressing the primary issue causing shortness of breath.

Question 2 of 5

A patient with diabetes is experiencing a diabetic foot ulcer. The nurse should prioritize which of the following interventions?

Correct Answer: C

Rationale: The correct answer is C: Assessing for signs of infection. This is the priority because diabetic foot ulcers are at high risk for infection, which can lead to serious complications. By assessing for signs of infection such as redness, warmth, swelling, pus, or foul odor, the nurse can promptly identify and initiate appropriate treatment. Administering antibiotics (
A) should be based on the assessment findings. Providing pain relief (
B) is important but not the priority when infection is a concern. Encouraging weight-bearing activity (
D) may worsen the ulcer and should be avoided initially.

Question 3 of 5

Recent Canadian immigration statistics indicate that the majority of people in this country settle in:

Correct Answer: C

Rationale: The correct answer is C: large-census metropolitan areas. This is supported by the fact that large cities like
Toronto, Montreal, and Vancouver attract the most immigrants due to job opportunities, diverse communities, and cultural amenities. These cities offer better infrastructure and services compared to smaller areas, making them more appealing for settlement.

Choices A and B are incorrect because smaller areas may lack the resources and opportunities that large cities provide.
Choice D is incorrect as extremely large cities might be overwhelming and less conducive to successful integration for newcomers.
Therefore, the majority of immigrants settling in Canada choose large-census metropolitan areas for better prospects and quality of life.

Question 4 of 5

Which lab values indicate a decreased risk of cardiovascular disease?

Correct Answer: A

Rationale:
Step-by-step rationale:
1. High HDL cholesterol is considered beneficial as it helps remove LDL cholesterol from arteries, reducing the risk of plaque buildup.
2. Low HDL cholesterol is associated with an increased risk of cardiovascular disease.
3. Low total cholesterol may not necessarily indicate a decreased risk, as it could be due to low levels of protective HDL cholesterol.
4. Low triglycerides, while generally considered good, do not directly indicate a decreased risk of cardiovascular disease like high HDL cholesterol does.

In summary, high HDL cholesterol is the correct answer as it plays a crucial role in reducing the risk of cardiovascular disease by removing LDL cholesterol, whereas the other choices do not offer the same protective benefits.

Question 5 of 5

What is the priority action when a client with a history of seizures experiences one?

Correct Answer: B

Rationale: The correct answer is B: Place in a safe environment. This is the priority action because it ensures the client's safety by preventing injury during the seizure. Placing the client in a safe environment involves removing any objects that could harm them, such as sharp objects or furniture. Positioning on their side (choice
A) is important after the seizure to prevent aspiration. Applying warm compresses (choice
C) is not indicated during a seizure. Inserting an oral airway (choice
D) is not recommended as it can be dangerous during a seizure and should only be done if the client is not breathing after the seizure.

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