A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

Cultural

Environmental

Socioeconomic

Health literacy

Answer and Explanation

The Correct Answer is C

A.   Cultural factors include beliefs, values, and practices that influence a person’s health behaviors and decisions. While cultural considerations can impact healthcare access and adherence, this client's primary concern about medication affordability is not specifically rooted in cultural issues.
B.   Environmental factors refer to external conditions that affect health, such as housing, pollution, and access to healthcare facilities. While living in subsidized housing may relate to the environment, the core issue here is not about environmental conditions but rather about financial resources and their impact on health.
C.   Socioeconomic factors encompass an individual’s economic status, including income, education, and occupation. The client’s concern about affording medications is a clear indication of socioeconomic status affecting their health.
D.   Health literacy involves the ability to obtain, process, and understand basic health information and services. While health literacy can influence how effectively a person manages their health and navigates the healthcare system, the client's concern about medication costs is more about financial capability than their understanding of health information.

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Correct Answer is ["A","B","C","D"]

Explanation

A. If any interventions were taken in response to abnormal blood pressure readings (e.g., administering medication, adjusting treatment plans), it should be recorded to provide a complete picture of the
client’s care.
B. This is also crucial information to include. Blood pressure readings can vary based on the client's position (e.g., sitting, standing, lying down), so documenting the position helps provide context for the reading and ensures consistency in monitoring.
C. This is important to document as well. Indicating whether the blood pressure was taken on the right arm, left arm, or another site (like the thigh) is necessary, as different sites can yield different readings and can be relevant for assessing trends over time.
D. Documenting the client’s response to any interventions is vital. This includes how the client reacted to medications or changes in treatment based on their blood pressure readings. It helps in evaluating the effectiveness of interventions and planning future care.
E. This information is not typically documented in the context of a specific blood pressure reading. While it’s important for care planning to know how often blood pressure should be monitored, the actual frequency does not need to be recorded with each individual reading.

A. Use hot water when washing hands with soap and water. B. Use alcohol-based hand sanitizers on hands for at least 10 seconds. C. Wash hands with soap and water if they are visibly soiled. D. Wash hands with an alcohol-based hand sanitizer when caring for a client who has Clostridium difficile.

Correct Answer is C

Explanation

A. While water temperature can be a matter of personal preference, it is not necessary to use hot water. In fact, the temperature of the water (whether warm or cold) does not significantly impact the effectiveness of handwashing. The most important factor is to use soap and rub the hands thoroughly for at least 20 seconds.
B. This statement is partially correct but requires clarification. Alcohol-based hand sanitizers should be rubbed on all surfaces of the hands until they are dry, which typically takes about 20 seconds. Ten seconds is insufficient for effective sanitization, so this instruction should be revised.
C. This statement is correct and should definitely be included. When hands are visibly soiled, washing them with soap and water is the most effective way to remove dirt, bacteria, and viruses. Alcohol-based hand sanitizers are not effective when hands are dirty or greasy.
D. Clostridium difficile (C. diff) infections require soap and water for handwashing, as alcohol-based hand sanitizers are ineffective against the spores of C. diff. Therefore, this instruction should not be included.

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A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D"]

Explanation

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Correct Answer is C

Explanation

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