The LPN/LVN is performing a focused assessment on the client with a draining wound. Information that will be collected includes:(Select all that apply) Standard Text: Select all that apply
1. Skin integrity
2. Odor noted
3. Vital signs
4. Intake and output
5. Symmetry of chest movements
1,2,3,4
Rationale: The progress of wound healing, or lack thereof is information that needs to be obtained and documented
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Which patient is most likely to be seen at a clinic that services older adults who are at or below the poverty level?
a. A Hispanic male living with extended family b. An African American male living with a spouse c. A Hispanic female who lives alone d. An African American female who lives with her sister
Family assessment ideally takes place in which of the following places?
a. health care provider's office c. family's church b. child's school d. child's home
A kindergarten student is frequently violent toward other children. A school nurse notices that the child frequently has bruises or burns on his face and arms
If the child performs poorly on an assignment, he is often heard telling himself, "You're so stupid." Which condition should the nurse suspect? A) Physical and emotional abuse B) Attention-deficit/hyperactivity disorder (ADHD) C) Separation anxiety disorder D) Mental retardation
The nurse was visiting in the home of a family who cares for an 18-year-old son with chronic schizophrenia. The parents remarked, "We never go anywhere alone, and we are thinking about taking a weekend trip
What do you think?" Which response would be MOST helpful to them? a. "It has to be tough, but you sure do a good job with your son." b. "Maybe you should leave for a few hours first to see if your son objects." c. "It will be difficult to find someone willing to stay in your home." d. "You do need to have some time away together."