During a home visit, the nurse is planning to complete a physical fitness assessment of a client. What should the nurse include in this assessment?
1. Flexibility
2. Range of motion
3. Body composition
4. Muscle endurance
5. Cardiorespiratory endurance
Correct Answer: 1, 3, 4, 5
Rationale: During an evaluation of physical fitness, the nurse assesses several components of the body's physical functioning, including flexibility.
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After completing the physical examination on a child, the nurse suspects Kawasaki disease based on evidence of which of the following?
A) Acne or hirsutism B) Dry, fissured lips and strawberry tongue C) Malar rash and facial lesions D) Café-au-lait spots and dermal tumors
The legal definition of nursing for any particular state can be found in the
a. state legislature's official newsletter. b. state board of nursing's bylaws. c. governor's official papers. d. state's nurse practice act.
Which statement accurately describes the purpose of sedation vacation for a patient to prevent ventilator-associated pneumonia?
1. The vacation from sedation relieves stress, which decreases the chance of infection. 2. During sedation vacation the patient has a chance to take deep breaths and improve ventilation while more awake. 3. The patient's own tidal volume and respiratory rate can be evaluated during sedation vacation. 4. New data show that sedation vacation is no longer recommended because there is concern about the safety of interrupting sedation.
Pain is a complex phenomenon that affects both the physical and mental areas. When teaching the client about pain, which statement made by the client would indicate appropriate understanding?
1. "Cancer pain usually only lasts a short time." 2. "Acute pain is usually rapid and can vary in intensity." 3. "Chronic pain may be acute, chronic, or intermittent." 4. "Chronic pain usually only lasts a little while."