A nurse is preparing to obtain a health history from a newly admitted client. Which of the following information should the nurse expect to include?

Laboratory results

Physical examination findings

Health habits

Observed client behaviors

Answer and Explanation

The Correct Answer is C

A. Laboratory results Lab results are diagnostic data, not part of the health history. They are obtained separately through testing.
B. Physical examination findings The physical exam is a separate component of the assessment and is not included in the health history, which focuses on subjective data.
C. Health habits The health history includes subjective data provided by the client, such as dietary habits, exercise routine, smoking, alcohol use, sleep patterns, and medication use. This information helps the nurse understand the client’s lifestyle and risk factors.
D. Observed client behaviors While a nurse may take note of behaviors, the health history is based on the client’s self-reported information, not observations.

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Correct Answer is D

Explanation

A. "You should wear a sterile gown when outside of your room." While protective clothing may be required in certain cases, wearing a sterile gown outside the room is not a standard recommendation for immunocompromised clients.
B. "You'll share a room with a client who is also immunocompromised." Clients who require a protective environment should be placed in a private room to minimize the risk of exposure to infections.
C. "You are required to wear an N95 respirator mask." N95 respirators are typically required for healthcare workers caring for clients with airborne precautions, not for immunocompromised clients in a protective environment.
D. "You will be placed in a positive-pressure airflow room." A positive-pressure room helps keep airborne pathogens out by ensuring that air flows out of the room rather than into it, reducing the risk of infections.

A. Rest the client's left arm over their chest. B. Apply an orthotic boot to the client's left foot. C. Place a thick pillow behind the client's head to increase cervical flexion. D. Instruct the client to lean toward the left side when ambulating to avoid falls.

Correct Answer is B

Explanation

A. "Rest the client's left arm over their chest." Keeping the affected arm across the chest can lead to contractures and shoulder adduction deformities. Instead, the arm should be supported in a neutral position with pillows or a sling to prevent complications.
B. "Apply an orthotic boot to the client's left foot." Clients with hemiplegia are at risk for foot drop due to muscle weakness or paralysis. An orthotic boot helps maintain proper foot alignment, prevents contractures, and promotes mobility.
C. "Place a thick pillow behind the client's head to increase cervical flexion." Excessive cervical flexion can lead to poor airway alignment and discomfort. Instead, the client’s head should be in a neutral, midline position with proper support.
D. "Instruct the client to lean toward the left side when ambulating to avoid falls." Leaning toward the affected (weaker) side increases the risk of imbalance and falls. Instead, the client should be encouraged to maintain proper posture and use assistive devices (e.g., cane, walker) for stability.

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A nurse is preparing to obtain a health history from a newly admitted client. Which of the following information should the nurse expect to include?

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