During physical examination of a client with a suspected endocrine disorder, the nurse assesses the body structures. The nurse gathers this data based on the understanding that it is an important aid in which of the following?
A) Detecting evidence of hormone hypersecretion
B) Detecting information about possible tumor growth
C) Determining the presence or absence of testosterone levels
D) Determining the size of the organs and location
A
Feedback:
The evaluation of body structures helps the nurse detect evidence of hypersecretion or hyposecretion of hormones. This helps in the assessment of findings that are unique to specific endocrine glands. Radiographs of the chest or abdomen are taken to detect tumors. Radiographs also determine the size of the organ and its location.
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a. data collection, interpretation, and clustering of assessment cues. b. observation, auscultation, palpation, and percussion. c. comparing client responses against the expected outcomes. d. evaluating lab data against standards and norms.
A client asks her nurse "Is it okay for me to take a tub bath during the heavy part of my menstruation?" The best response by the nurse is:
A. "Tub baths are contraindicated during menstruation." B. "You should shower and douche daily instead." C. "Either a bath or a shower is fine at that time." D. "You should bathe and use a feminine deodorant spray during menstruation."
A client is concerned that her habit of sleeping during the day and being awake at night is not "healthy or normal." The nurse's most therapeutic response to the client's concern is:
1. "What makes you think that sleeping during the day and being up at night is un-healthy or abnormal?" 2. "Many people share your sleep habits. As long as you feel all right, I don't think there is anything to worry about." 3. "Are you interested in changing your sleep habits for any particular reason? Is sleeping during the day a problem for you?" 4. "Everyone has a different biological clock that controls his or her sleep cycle. As long as you are sleeping and functioning well, your habit isn't abnormal or un-healthy."
When following confidentiality standards, the home health aide should only discuss client information with
A) friends of the client. B) coworkers of the client. C) members of the home care team. D) neighbors of the client.