The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)
Blood pressure pattern
Dyspnea
Vision Acuity
Peripheral Edema
Constipation
Correct Answer : A,B,D
A. Blood pressure pattern: Blood pressure patterns are crucial for assessing cardiovascular health as they indicate potential issues like hypertension or hypotension, which are related to heart function.
B. Dyspnea: Dyspnea (difficulty breathing) is important in a cardiovascular assessment as it can be a sign of heart failure or other cardiac conditions affecting respiratory function.
C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide information about heart or vascular health.
D. Peripheral Edema: Peripheral edema (swelling in the limbs) can be a sign of heart failure or other circulatory problems, making it relevant for cardiovascular assessment.
E. Constipation: Although constipation can affect overall health, it is not typically included in a cardiovascular assessment as it does not provide direct information about cardiovascular status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Apparent state of health: This generally reflects overall health rather than specific mental or cognitive status.
B. Facial expression: Facial expression provides insight into mood and emotional state but does not specifically assess consciousness or orientation.
C. Level of consciousness: Being awake, alert, and oriented is directly related to the level of consciousness, which is a key aspect of assessing cognitive and mental function.
D. Posture, gait, motor activity, and speech: These aspects are relevant for physical activity and motor skills, not specifically for consciousness or cognitive orientation.
Correct Answer is C
Explanation
A. Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.
B. Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.
C. Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.
D. Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.
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