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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Determine the health education needs of the group: Assessing the group’s health education needs is the first step in planning a health promotion program. Understanding their knowledge gaps, risk factors, and priorities allows the nurse to develop relevant and effective interventions tailored to the group.

B. Customize the program to the group's strengths: Customizing the program is important but should occur after the needs assessment. Tailoring interventions without first identifying the group’s specific needs may result in ineffective or irrelevant programming.

C. Evaluate the program's effectiveness: Evaluation is a later step that occurs after program implementation. It measures whether the program achieved its goals but cannot be performed before planning and execution.

D. Identify strategies that will enhance the program: Identifying strategies is part of program development and planning but depends on understanding the group’s needs first. Strategies should align with assessed needs to ensure effectiveness.

A. Explain the parts of the assessment and ask permission to move forward B. Return at a later time to complete the physical assessment and interview C. Get a different nurse to complete the physical assessment and interview D. Continue with the physical assessment so the client can get treatment

Correct Answer is A

Explanation

A. Explain the parts of the assessment and ask permission to move forward: Providing a clear explanation of the assessment process and asking for consent demonstrates respect for the client’s cultural values and personal boundaries. This approach helps reduce anxiety, promotes trust, and ensures the client feels in control of their care.

B. Return at a later time to complete the physical assessment and interview: Delaying the assessment may not address the client’s immediate health needs and does not actively engage the client in reducing their apprehension. It may also prolong anxiety without providing reassurance.

C. Get a different nurse to complete the physical assessment and interview: While changing nurses might help in some cases, it does not directly address the client’s apprehension or foster communication and trust. The underlying need is for explanation and consent, not just a change in personnel.

D. Continue with the physical assessment so the client can get treatment: Proceeding without consent disregards the client’s autonomy and may increase anxiety or distrust. It could violate ethical principles and negatively impact the nurse–client relationship.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning a health promotion program for a group of clients. What action should the nurse plan to take first when implementing this health promotion plan?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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