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 C
Explanation
A. Share their biases with colleagues to seek validation and reassurance about their feelings: While discussing biases may raise awareness, relying solely on colleagues does not provide the nurse with tools or strategies to manage biases effectively or improve client care.
B. Acknowledge biases but maintain those beliefs as they will not influence client care: Simply acknowledging biases without addressing them can allow them to unconsciously affect clinical decisions, undermining equitable and culturally competent care.
C. Seek out education on cultural competency to better understand diverse populations: Education and training in cultural competency equip the nurse with knowledge and strategies to recognize, manage, and minimize the influence of personal biases, promoting equitable, respectful, and effective care for all clients.
D. Avoid clients from different cultures to prevent personal bias from affecting their care: Avoiding clients is unethical and discriminatory, limiting access to care and failing to fulfill professional responsibilities. It does not address the underlying issue of implicit bias.
Correct Answer is D
Explanation
A. A client with a "sprained ankle from playing tennis": A sprained ankle is generally a minor musculoskeletal injury and is not life-threatening. While it requires care for pain and mobility, it is lower priority compared to conditions that may indicate acute or serious illness.
B. A client with "stomach pain after eating oatmeal": Mild stomach discomfort is typically non-urgent unless accompanied by severe or alarming symptoms. This condition is lower priority compared with clients exhibiting potential acute neurological or cardiovascular issues.
C. A client with a "cough and fever for two days": While fever and cough may indicate infection, the short duration without severe distress usually does not require immediate life-saving interventions. This client is important but is less urgent than acute neurological concerns.
D. A client with a "headache and anxiety for an hour": Sudden-onset headache can signal serious conditions such as intracranial hemorrhage or stroke, particularly if accompanied by anxiety or neurological changes. This client requires immediate assessment to rule out life-threatening causes, making it the highest priority.
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