The nurse is caring for a newly admitted client with Methicillin-resistant Staphylococcus Aureus (MRSA). Which of the following are appropriate goals of the initial health assessment? Standard Text: Select all that apply
1. Determine the client's current state of health and ongoing health-promotion activities.
2. Predict risks to current health status.
3. Use only objective data to determine client allergies.
4. Determine how frequently the client is able to change positions.
5. Identify health-promoting activities.
1,5
Rationale 1: Determine the client's current state of health and ongoing health-promotion activities: Health assessment goals are to determine the client's current state of health and ongoing health-promotion activities.
Rationale 2: Predict risks to current health status: Health assessment activities are used to predict risks to health, and identify health status both current and future. This includes physical, social, cultural, environmental, and emotional factors including wellness behaviors, illness signs and symptoms, client strengths and weaknesses, and risk factors.
Rationale 3: Use only objective data to determine client allergies. The initial health assessment includes both objective and subjective information.
Rationale 4: Determine how frequently the client is able to change positions. The initial health assessment includes both objective and subjective information and seeks to determine the potential an individual has to implement health-promoting activities. Health assessment activities are used to predict risks to health, and identify health status. This includes physical, social, cultural, environmental, and emotional factors including wellness behaviors, illness signs and symptoms, client strengths and weaknesses, and risk factors. The ability of the client to change positions is not a part of the initial health assessment. .
Rationale 5: Identify health-promoting activities. The health assessment seeks to determine the potential an individual has to implement health-promoting activities.
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The nurse is aware that the person with ulcerative colitis is a risk factor for developing which disorder?
a. Colon cancer b. Chronic urinary infections c. Intussusception d. Volvulus
You are the admitting nurse for a pt with nephrotic syndrome. which assessment finding supports this diagnosis?
a. edema formation b. hypotension c. increased urine output d. flank pain
The three main elements necessary for normal bowel activity and avoiding constipation are:
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