1. ** Respiratory Assessment**
- A 13-year-old client presents to the emergency department with
breathing difficulties. The client has a history of asthma diagnosed four
years ago. On arrival, the client's symptoms include increased work of
breathing, shortness of breath, coughing, and wheezing. Vital signs:
respiration rate 30 breaths per minute, heart rate 118 beats per minute,
O2 saturations 91%, blood pressure 110/60 mm Hg, and tympanic
temperature 38.1ºC. The client reports that symptoms are not related to
usual triggers (e.g., overexercising, playing in cold air, scented products).
Auscultation reveals decreased air entry bilaterally to bases and wheezing
in the upper quadrants. No accessory muscle tugging is noted. The client
states their chest feels tight when coughing and that they started feeling
nauseous this morning. Diaphoresis is noted on face and neck areas with
slight grey discoloration around the lips.
- **Question**: What are the risk factors for hypertension in this case
study?
- A) Family history of hypertension
- B) Sedentary lifestyle
- C) Non-adherence to medications
- D) All of the above
- **Answer**: D) All of the above
- **Rationale**: Hypertension risk factors include family history, sedentary
lifestyle, and non-adherence to medications.
2. Which of the following is an example of a physical health assessment tool
used to measure an individual's body mass index (BMI)?
A. Beck Depression Inventory
B. Glasgow Coma Scale
C. Braden Scale
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