The nurse is preparing to examine several clients in the clinic setting. Which of the following clients would need the greatest degree of special consideration during a physical examination?
1. 59-year old with flu symptoms
2. 3-year-old child in for a well check-up
3. 17-year old who complains of fatigue
4. 68-year old with chronic lung disease
4
Rationale 1: A client ill with an acute condition such as a flu-like illness is not the same risk category as the older client with a chronic disease.
Rationale 2: Assessment approaches and techniques may vary for children, but a 3-year old is not considered at the same risk potential as a client with a chronic respiratory illness.
Rationale 3: Fatigue in a teenager may indicate anemia or it may be caused by lack of sleep, but in general the position changes required during the complete health assessment should not be taxing on a teen.
Rationale 4: Clients who are frail, weak, debilitated, or suffering from a chronic illness may become extremely fatigued during the physical examination due to frequent position changes. The nurse should make every effort to minimize the number of position changes for the client and should complete the exam in a timely fashion.
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