The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the primary use of a family assessment tool is to:
1. Obtain a comprehensive medical history of family members.
2. Determine to which clinic the client should be referred.
3. Predict how a family will likely change with the addition of children.
4. Understand the physical, emotional, and spiritual needs of members.
4
Rationale 1: The medical history is one area that is explored using a family assessment tool, but it is not the primary use of the family assessment.
Rationale 2: Although referrals might take place as a result of the family assessment findings, this is not the primary purpose of the assessment.
Rationale 3: Family development models help predict how a family will likely change with the addition of children.
Rationale 4: Understanding the physical, emotional, and spiritual needs of members is the main reason for using a family assessment tool.
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A child with myasthenia gravis is brought to the emergency department by his parents. The parents have noticed a sudden increase in respiratory difficulty. The nurse suspects myasthenic crisis based on which statement by the parents?
A) "We gave him an extra dose of his medication earlier today." B) "He was coughing and had a slight fever yesterday and today." C) "Things have been pretty stress-free lately." D) "He's been resting when he gets tired."
The nurse understands that an expectorant is administered cautiously to a client with which condition?
A) Renal impairment B) Persistent headache C) Persistent cough D) Seizure disorder
The nurse would examine a child with low-set ears for anomalies in which organ that formed at the same time as the ears in embryonic development?
a. heart c. liver b. kidneys d. lungs