The nurse notices a patient has a strong, foul body odor. The patient tells the nurse he has trouble getting in and out of the bathtub. Which areas of the physical assessment does this information address?
1. Behavior and pain
2. Nutritional assessment, mental status, and behavior
3. Physical appearance, height, and weight
4. Functional assessment, physical appearance, and mobility
4
Rationale 1: The patient did not say that his inability to use the bathtub was associated with pain, and the nurse should be careful not to make this assumption.
Rationale 2: An inability to use the bathtub does not speak specifically to nutrition, mental status, or behavior.
Rationale 3: The inability to use the bathtub does affect physical appearance. The patient did not mention that the tub was too small or that his weight made using it difficult, so these issues cannot currently be considered a factor. The nurse must be careful not to make assumptions without data.
Rationale 4: The patient states difficulty with using a bathtub, which provides information relevant to functional assessment, physical appearance, and mobility.
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