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 D
Explanation
Choice a reason:
Eye malalignment is a general term that refers to any form of misalignment of the eyes, which can include esotropia but is not specific to it. Esotropia is a type of strabismus where there is a specific pattern of eye malalignment.
Choice b reason:
Eye turning outward is known as exotropia, which is the opposite of esotropia. In exotropia, one or both eyes turn outward away from the nose, which is not characteristic of esotropia.
Choice c reason:
Eye oscillating refers to nystagmus, a condition where the eyes make repetitive, uncontrolled movements, often resulting in reduced vision and depth perception. While nystagmus can occur in conjunction with esotropia, it is not a defining characteristic of esotropia itself.
Choice d reason:
Eye turning inward is the hallmark of esotropia. In this condition, one or both eyes turn inward towards the nose. It can be constant or intermittent and may affect one eye or alternate between both eyes. Esotropia can be comitant, meaning the degree of deviation is the same in every direction of gaze, or incomitant, where the deviation varies with gaze direction.
Correct Answer is B
Explanation
Choice A Reason:
An ophthalmoscope is primarily used for examining the interior structures of the eye, such as the retina, and is not typically used for assessing near vision. It provides a view of the fundus of the eye, which is essential for diagnosing various eye conditions but does not directly assess a patient's reading or close-up vision.
Choice B Reason:
The Snellen Chart is traditionally used to measure distance visual acuity and would not be the first choice for assessing near vision. However, there are versions of the Snellen Chart or similar charts designed for near vision assessment, typically held at a reading distance of about 14 inches from the patient. These charts have rows of letters or symbols that decrease in size and are used to determine the smallest print size a person can read.
Choice C Reason:
A magazine can be a practical tool for assessing near vision informally, as it contains various sizes of print and is a good representation of everyday reading material. The nurse can ask the patient to read a specific paragraph to observe their ability to see and comprehend text at a close distance.
Choice D Reason:
A penlight is not used for assessing near vision. It is typically used to assess the pupillary light reflex or to illuminate specific areas of the eye during an examination. The penlight helps to evaluate the response of the pupils to light but does not measure the patient's ability to read or see objects up close.
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