Health Assessment Unit Test Ultimate Study Guide

What is the purpose of a Comprehensive Admission Assessment in nursing?

To establish a thorough baseline of physical and psychosocial findings and identify the patient's health needs.

What are the Four Primary Hospital Assessment Types?

Comprehensive/admission, shift/ongoing, focused, and urgent assessments.

What does the OLDCART mnemonic stand for in symptom analysis?

O: Onset, L: Location, D: Duration, C: Characteristics, A: Aggravating factors, R: Relieving factors, T: Treatment.

What are the Five Rights of Delegation in nursing?

Right task, right circumstances, right person, right direction/communication, right supervision/evaluation.

What are High-Priority Red-Flag Assessment Findings?

Acute onset of new chest pain, compromised airway, acute confusion, signs of acute stroke, sudden drop in oxygen saturation, a pulseless extremity.

What does S1 heart sound signify?

It signifies the closure of the atrioventricular valves, marking the onset of ventricular systole.

What are the major symptoms of Left-Sided Heart Failure?

Progressive dyspnea, orthopnea, bilateral pulmonary crackles, and pulmonary edema.

What does Jugular Venous Distention (JVD) indicate?

Elevated right atrial pressure or high central venous pressure.

What is the normal adult respiratory rate?

Typically spans 12-20 breaths per minute.

What are Adventitious sounds in respiratory assessment?

Abnormal sounds such as crackles, wheezes, rhonchi, stridor, or absence of breath sounds.

What is pitting edema?

Excess fluid in tissue that retains an indentation after direct pressure.

What are the Six Ps of Acute Limb Ischemia?

Pain, Pallor, Pulselessness, Paresthesia, Paralysis, Poikilothermia.

What defines Hyperthyroidism?

A state of sustained hypersecretion and excessive activity of thyroid hormones.

What are the clinical manifestations of Hypothyroidism?

Chronic fatigue, unexplained weight gain, cold intolerance, constipation, and bradycardia.