The nurse observes the client walking into the room and climbing up on the exam table. The nurse notes this activity as a way to obtain data related to which of the following?
1. The client's mobility status
2. Subjective assessments related to ambulation
3. Activity tolerance
4. Strength of upper and lower extremities
1
Rationale 1: During a general survey, the nurse observes the client performing routine activities, such as walking and sitting. This allows the nurse to begin to gather data about the client's mobility. These data will then be incorporated into the remainder of exam and history.
Rationale 2: Observation is an objective assessment.
Rationale 3: Activity tolerance is not a component of the general survey. The general survey consists of physical appearance, mental status, mobility, and behavior.
Rationale 4: Watching the client walk and sit gives the nurse information about the strength of a client's lower extremities, but tells the nurse nothing about the client's upper extremity strength.
You might also like to view...
For a client with a history of recurrent UTIs who is prescribed an acid-ash diet, the nurse would advise the client to include
a. alcohol. b. carbonated beverages. c. coffee. d. cranberry juice.
How have nurses historically learned to identify a possible relationship between environmental chemical exposures and their potential harm?
a. Extrapolation by toxicologists b. Biomonitoring c. Completing chemistry courses d. Observing signs and symptoms in clients
A client has been seen in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. The best response by the nurse should be:
1. "It causes the cessation of menstruation." 2. "It is also known as primary dysmenorrhea." 3. "It is pain that occurs during ovulation." 4. "It is the presence of tissue outside the uterus that resembles the endometrium."
__________ is a tumor arising from the chromaffin cells of the adrenal medulla causing the secretion of large amounts of catecholamines
Fill in the blank(s) with correct word