What items should be included in the admission nursing assessment for a new client? Standard Text: Select all that apply
1. Genetic counseling
2. Health history
3. Support systems
4. Current stressors
5. Genetic testing
2,3,4,5
Rationale: The health history may help rule out a physiologic disorder and gives baseline information for the physical assessment. It will be important to know what support systems are available to assist the client in the recovery process. It is important to know what types of immediate interventions may be necessary to address current stressors as they may contribute to being helpless and hopeless. Neither genetic testing nor genetic counseling is necessary for the immediate care of the client.
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The nurse admits a newborn diagnosed with fetal alcohol syndrome. When talking with the mother, the nurse discusses:
1. Getting help from Alcoholics Anonymous for her alcohol dependency. 2. The need for special strategies when feeding the infant. 3. The need to consult Social Services. 4. The need to contact Children and Youth Services.
The nurse is performing a skin assessment on an African American client and notes an elevated, irregular band of jagged tissue on the client's left arm. The client states, "I had a burn here a long time ago, but it seemed to keep on getting bigger."
Which term will the nurse use when documenting this finding in the client's medical record? 1. Ulcer. 2. Keloid. 3. Fissure. 4. Scar.
Which of the following hospice services are covered by Medicare? (Select all that apply.)
a. physician and nursing care d. medical equipment and supplies b. dental care e. housekeeping services c. counseling services f. surgical procedures
A nurse is caring for a newborn on a ventilator who has respiratory distress syndrome (RDS). The nurse informs the parents that the newborn is improving. Which data support the nurse's assessment?
1. Decreased urine output 2. Pulmonary vascular resistance increases 3. Increased PCO2 4. Increased urination