A nurse is conducting a mental status assessment for a client admitted to a health care facility. Under which conditions would the nurse need to collect the greatest proportion of objective assessment data?
A) When the client has visible wounds
B) When the client pays attention to the nurse's instruction
C) When the client has taken an overdose of drugs
D) When the client has an active infection
C
Feedback:
The nurse would need to collect more objective assessment data if the client had taken an overdose of drugs. However, objective assessment data would not be required if the client has wounds, can pay attention to the nurse's instruction or has an infection; none of these conditions compromises the client's ability to provide useful subjective data.
You might also like to view...
Which finding is likely to cause anxiety in a client who has obsessive-compulsive disorder?
A) Skewed wall hanging B) Cup handles facing same direction C) Full soap container D) Neat and orderly desktop
Chlamydial infections also can be spread to the eyes by __________, self-transmission to another area of the body
Fill in the blank(s) with correct word
The best menu choice for a patient who is undergoing radiation treatments every other day is:
1. a bowl of vegetable soup, chopped egg and pickle sandwich on wheat bread, ap-ple, 8 oz. orange juice. 2. pinto beans, strained, with rice; 1-oz. slice of plain American cheese; cup spin-ach; ripe banana; 8 oz. milk. 3. Spanish rice, cup mixed green salad, cup canned peaches, 8 oz. Coke. 4. spaghetti with tomato sauce, cheddar cheese toast strips, six celery sticks with peanut butter, 8 oz. whole milk.
A nurse is collecting a history on a young client being treated for epididymitis. For which past medical condition should the nurse ask if the client has received treatment?
a. Frequent urinary tract infections b. History of testicular torsion at puberty c. Problems with erectile dysfunction d. Sexually transmitted diseases