A nurse is collecting data from a home care client. In addition to information about the client's health status, what is another observation the nurse should make?
A) Number of rooms in the house
B) Safety of the immediate environment
C) Frequency of home visits to be made
D) Friendliness of the client and family
Ans: B
The nurse should also observe the safety of the immediate environment. Observation is the conscious and deliberate use of the five senses to gather data. Each time a client is observed, the nurse observes current responses, ability to provide self-care, the immediate environment, and the larger environment.
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