Prior to assisting the client with personal hygiene, the nurse checks the nursing history for risk factors for self-care deficit, such as:(Select all that apply) Standard Text: Select all that apply
1. Visual impairment
2. Activity intolerance
3. Pain
4. Auditory impairment
5. Medically prescribed restriction
1,2,3,5
Rationale: A client with a visual impairment may not be able to collect the equipment necessary to complete personal hygiene tasks
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Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In discussing an elevated alpha-fetoprotein screening test result with a couple, the nurse would discuss:
A) The special care needed for a Down syndrome infant B) The need for a more specific determination of the acid–base status C) The need for more definitive evaluations before making any conclusions D) The need for immediate termination of the pregnancy
Which items are included in the IOM six aims for improvement? (Select all that apply.)
a. safe b. patient-centered c. innovative d. effective
Which intervention is most appropriate for a patient who has a new onset of chest pain?
a. Administer a prn medication for pain. b. Reassess the patient because of the change in condition. c. Notify the health care provider. d. Call radiology for a portable chest x-ray.
The community health nurse is assessing the dynamics of the family. Using your knowledge of family members' relationships to each other with the degree of kinship identified, what is an example of a nuclear family?
A) First-degree relatives who live together B) First- and second-degree relatives who live together C) First- and second-degree relatives who live in the same neighborhood D) Individuals who are not blood relatives but share common locale of origin or culture