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HESI HEALTH ASSESSMENT VERSION C WITH 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ HESI HEALTH ASSESSMENT ACTUAL 2024-2025 LATEST EXAM (BRAND NEW!!)

HESI HEALTH ASSESSMENT VERSION C WITH 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ HESI HEALTH ASSESSMENT ACTUAL 2024-2025 LATEST EXAM (BRAND NEW!!)

HESI HEALTH ASSESSMENT VERSION C WITH 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES/ HESI HEALTH ASSESSMENT ACTUAL 2024-2025 LATEST EXAM (BRAND NEW!!)
A client is in the clinic for a routine health examination. The nurse notices the
client appears underweight. Which question is most important for the nurse to ask
when completing the health history of this client?
a. "What types of food do you like or dislike?"
b. "Have you experienced sudden weight loss?"
c. "Do you use dietary supplements every day?"
d. "Can you recall the last 24 hours of food intake?" - ANSWER-b. "Have you
experienced sudden weight loss?"
Rationale
A client who is underweight may have an underlying illness, for example, weight
loss without any change in dietary and/or physical activity could be an indicator of
the presence of cancer or a metabolic syndrome such as Grave's disease. It is
important to determine if the weight loss has been sudden, gradual, and/or
intentional because this information will guide the remaining dietary history.
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should be
completed during the initial examination of this client?
Select all that apply
a. Nuchal rigidity.
b. Gait characteristics.
c. Presence of trauma.
d. Bladder control ability. - ANSWER-a. Nuchal rigidity.
Rationale
Initial symptoms of meningitis include headache, fatigue, nuchal rigidity (stiff
neck), photophobia, and in later stages, changes in the level of consciousness. It is
necessary to determine if the client is demonstrating signs of meningitis before
planning immediate care.

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