A nurse is caring for a client after surgery on the left femur. The client reports numbness and tingling in the left foot. Which type of assessment should the nurse conduct?
Focused assessment
Cultural assessment
Spiritual assessment
Complete health assessment
The Correct Answer is A
A. Focused assessment: A focused assessment targets a specific problem or area of concern, in this case, numbness and tingling in the left foot after femur surgery. It allows the nurse to quickly identify complications such as nerve injury, compartment syndrome, or impaired circulation.
B. Cultural assessment: Cultural assessments explore a client’s beliefs, values, and practices, which are important for holistic care but do not address acute postoperative neurological or vascular concerns.
C. Spiritual assessment: Spiritual assessments focus on the client’s religious or spiritual needs and coping mechanisms. While important for overall well-being, it does not provide information about acute physical complications.
D. Complete health assessment: A complete assessment is comprehensive, covering all body systems and health history. While thorough, it is unnecessary and time-consuming when the client presents with a specific postoperative concern requiring immediate attention.
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Related Questions
Correct Answer is A
Explanation
A. You should store your medications in a medicine cabinet: Proper storage in a secure, dry, and cool location helps maintain medication effectiveness and prevents accidental ingestion, especially in older adults who may have memory or mobility limitations.
B. You can take medication up to 6 months past the expiration date: Taking expired medications can reduce effectiveness and potentially be unsafe. Clients should always adhere to expiration dates to ensure therapeutic efficacy.
C. You can place different medications in the same container: Mixing medications can lead to confusion, dosing errors, and potential chemical interactions. Each medication should be stored in its original labeled container.
D. You may keep medications for sleep at your bedside: Storing medications at the bedside increases the risk of accidental ingestion, misuse, or falling while reaching for them, and is generally unsafe for older adults.
Correct Answer is A
Explanation
A. A complete assessment: During an initial home visit, a complete assessment is appropriate because the nurse needs to gather comprehensive information about the client’s medical history, current health status, medications, and environmental factors to create a thorough plan of care.
B. A follow-up assessment: Follow-up assessments are used to monitor progress or evaluate ongoing treatment. Since this is the first visit, a follow-up assessment would be premature.
C. An emergency assessment: Emergency assessments are performed when a client presents with life-threatening or urgent conditions. A routine initial home visit does not indicate an immediate threat, so this is not appropriate.
D. A rapid assessment: Rapid assessments are brief evaluations used in urgent or unstable situations to identify immediate needs. This type of assessment is not suitable for a comprehensive initial home visit.
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