The student nurse is reviewing different types of health history. Which client situation would require an Emergency health history?
A client who has recently been diagnosed with a chronic illness.
A client with hypotension, tachycardia, SpO2 85%, and a recent gunshot wound.
A client who just confirmed she is pregnant.
A client who makes frequent hospital visits reporting the same symptom.
The Correct Answer is B
Choice a reason:
A client recently diagnosed with a chronic illness would require a comprehensive health history that includes past medical history, medications, and lifestyle factors. While important, it is not typically categorized as an emergency health history unless the chronic condition has acutely worsened.
Choice b reason:
A client presenting with hypotension (low blood pressure), tachycardia (rapid heart rate), an oxygen saturation of 85% (indicating potential hypoxemia), and a recent gunshot wound is experiencing a life-threatening situation that requires immediate medical attention. An Emergency health history is crucial in this scenario to quickly gather information that will guide urgent treatment decisions.
Choice c reason:
A client who has just confirmed pregnancy would need a detailed health history, including obstetric and gynecological history, but this is not considered an emergency unless there are complications or concerns that require immediate attention.
Choice d reason:
A client who frequently visits the hospital reporting the same symptom may indicate a chronic issue that needs ongoing management rather than an emergency. However, if the symptom suggests an acute exacerbation or a new, serious condition, it could escalate to an emergency.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
The dorsal aspect of the hand, rather than the finger pads, is more sensitive to temperature due to its thinner skin. Therefore, while the finger pads can detect temperature, they are not the best tool for this purpose.
Choice B Reason:
Vibrations, such as those produced by vocal fremitus, are typically assessed using the ulnar edge or the palmar aspect of the hand, not the finger pads. The finger pads are sensitive but do not provide the best surface for detecting vibrations.
Choice C Reason:
The finger pads are densely innervated and are the most sensitive part of the hand, making them ideal for palpating pulses. Pulses are subtle and require a fine touch to assess properly, which is why the finger pads are the preferred area for this assessment.
Choice D Reason:
Fremitus refers to the palpable vibrations transmitted through the bronchopulmonary tree to the chest wall as someone speaks. It is best felt with the ball of the hand or the ulnar edge, not the finger pads.
Correct Answer is B
Explanation
Choice A Reason:
Angular cheilitis is characterized by inflammation of one or both corners of the mouth. It often presents as red, swollen patches in the corners of the mouth and can be associated with fungal or bacterial infection. However, it does not typically cause vesicular eruptions, which are more indicative of viral infections like herpes simplex.
Choice B Reason:
Herpes simplex virus (HSV) is known for causing vesicular eruptions, commonly referred to as cold sores or fever blisters, around the lips and mouth area. These eruptions are fluid-filled blisters that can be painful and are highly indicative of an HSV infection, particularly HSV type 1, which commonly affects the oral region.
Choice C Reason:
Angioedema involves the rapid swelling of the deeper layers of the skin, often seen with hives. While it can affect the lips and surrounding areas, it does not cause vesicular eruptions. Angioedema is more associated with allergic reactions and can be part of anaphylaxis, a severe systemic reaction.
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