Which of these concepts is MOST important for a nurse to use throughout the physical assessment of a client?
a. identifying oneself c. turning off the television and radio
b. providing privacy d. using natural light whenever possible
B
The environment should be as quiet as possible, and the nurse should take measures to preserve the client's privacy.
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The nurse enters the adolescent client's room after the unlicensed assistive personnel (UAP) has finished bathing the client and finds used tissues on the floor by the bed, the client's bedpan on the foot of the bed, and the bath basin drying on
top of the bedside table. What is the nurse's priority action? 1. Reprimand the UAP. 2. Instruct the client to clean her room. 3. Discard tissues and put the bedpan and basin away. 4. Call housekeeping to clean the room.
What describes the pathologic changes of sickle cell anemia?
a. Sickle-shaped cells carry excess oxygen. b. Sickle-shaped cells decrease blood viscosity. c. Increased red blood cell destruction occurs. d. Decreased red blood cell destruction occurs.
The nurse is caring for a client on a Rotokinetic bed after a spinal cord injury. Which is the best nursing intervention for client disorientation and uncooperativeness?
1. Install a mirror for client viewing. 2. Administer short-acting sedatives. 3. Decrease rotation to 12 hours daily. 4. Collaborate with psychiatric service.
Which condition(s) would be of special concern when evaluating a patient for treatment with gonadal hormones? (Select all that apply.)
a. Sexually transmitted disease b. Hypertension c. Liver disease d. Cancer of the reproductive organs e. Smoking