A home care nurse is conducting a home assessment. The nurse is looking for the presence of sensory alterations. Factors to assess include if any changes have occurred in which of the fol-lowing? Select all that apply
A. Work
B. Health promotion
C. Seeing, hearing, touch
D. Self-care management
B, C, D
When assessing for sensory alterations, home care nurses need to assess sensory status, self-care management, and health promotion activities, as well as lifestyle and socialization.
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The client with a closed head injury must be carefully monitored by the nurse because she could stop breathing or have inadequate respiratory effort due to what?
1. The accident that injured the head might also have injured the chest. 2. The client's reduced level of consciousness might cause the tongue to block the airway. 3. The respiratory control mechanism is in the brain, and increased cerebral edema could damage its function. 4. Closed head injuries mainly occur in very young children whose airways are very narrow and easily occluded.
The nurse notes swelling and tenderness of the olecranon process during palpation. The client's chief complaint is pain upon movement of the forearm and wrist
The nurse would correctly suspect which of the following conditions in this situation? 1. Arthritis 2. Bursitis 3. Epicondylitis 4. Crepitus
While bathing a patient, the nurse assesses a red, unblanchable area on the coccyx. The best dressing for this lesion is a ________ dressing
a. transparent film b. hydrocolloid c. fluffy absorbent d. wet-to-dry
What genetic process is likely responsible for the occurrence of asthma in only one of a pair of identical twins?
a. Epigenetic modifications b. Genomic imprinting c. Transgenerational inheritance d. Methylation