A client is admitted with the diagnosis of cirrhosis of the liver. Which part of the nursing assessment would benefit most if a family member is included? Select all that apply
A) Functional assessment
B) Physical exam
C) Diagnostic testing
D) Medical history
E) Medication review
A, D, E
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The functional assessment would include questions about patterns of alcohol use, amounts consumed, work history and lost time from work, behavior and mood swings, methods of coping with stress, interpersonal relationships, and other issues that may assist the nurse in determining if there is a substance abuse issue. Having a family member present during the interview can deter the client from diverting or rationalizing the use of substances. The medical history may also benefit from having a family member to verify information that is forgotten. The physical exam and/or diagnostic testing do not require the presence of family. Medication review is probably more complete with the presence of a family member.
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a. Delayed bonding with parents b. Delayed toilet training c. Impaired sense of belonging d. Decreased feelings of independence e. Impaired speech development
The mother of a 6-foot 2-inch 16-year-old girl who is being treated for hypopituitarism says, "I can't stand it that my beautiful daughter is a freak." The nurse's best response is:
1. "Gigantism is treatable." 2. "Her height could help her be a basketball star or a model." 3. "What is it about her height that makes her a freak?" 4. "All parents feel responsible when their children have problems."
The nurse is teaching an infant care class to new parents. Which statement indicates that additional teaching is needed?
A. "The white spots on my baby's nose are called milia, and are harmless." B. "The cheesy white substance in the creases is vernix, and will be absorbed." C. "The red spots with a white center on my baby are abnormal acne." D. "Jaundice might develop in my baby when it is a few days old.
When an individual arrives in their assigned room on admission, the nurse should do which of the following things first?
a. Orient them to the room and hospital unit. b. Order their medications from the pharmacy. c. Organise pathology and x-rays. d. Get the admission paperwork completed.