On which of the following aspects of the assessment should a nurse who is assessing the health-related physical fitness of a client as part of a health assessment be focused?
Answer(s): D
A health assessment should focus on possible risk factors of the client.A risk factor is something that increases a person’s chance for illness or injury.A health-risk appraisal is an assessment of the total person, including lifestyle and health behaviors.
A nurse is trying to motivate a client toward more effective management of a therapeutic regimen.Which of the following actions by the nurse is most likely to be effective in increasing the client’s motivation?
Answer(s): C
For maximum effectiveness, teach the client about the disorder at the client’s level of understanding.
Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is ______________.
Answer(s): A
Data belonging in a general health history of the eye includes employment, activities, allergies, medications, lenses, and protective devices used.Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should be explored.
If Ms. Barrett’s distance vision is 20/30, which of the following statements is true?
The numerator, which is always 20, is the distance in feet between the chart and the client.The denominator, which ranges from 10 to 200, indicates the distance at which a normal eye can read the chart.The eye chart the nurse uses is the Snellen chart, which assesses distance vision.
The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm.Given this information, what would the nurse expect the child’s chest circumference to be?
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