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 B

Explanation

A. The systolic blood pressure is clearly stated as "102 mm Hg" in the documentation. There is no need for clarification regarding the systolic value.
B. It is essential to document the site where the blood pressure was taken, as this can affect the accuracy of the reading. Typically, the blood pressure is measured in the brachial artery in the upper arm. If the cuff was placed on a different site, such as the wrist or ankle, this should be noted in the documentation.
C. The unit of measurement for blood pressure is correctly indicated as "mm Hg" (millimeters of mercury). There is no need for clarification regarding the unit since it is standard and clear.
D. The position of the client is correctly documented as sitting up in a chair.

A. Administer oral PRN pain medication to a client who has arthritis. B. Irrigate and perform a dressing change for a client who has a pressure injury wound. C. Reinforce teaching the use of an incentive spirometer to a postoperative client. D. Obtain a daily weight on a client who has heart failure.

Correct Answer is D

Explanation

A. This task should not be delegated to an AP. Administering medication, especially pain medication, requires nursing assessment and judgment, including monitoring for effectiveness and potential side effects. Only licensed nurses can administer medications.
B. This task is also not suitable for delegation to an AP. Wound care, particularly for a pressure injury, requires specialized knowledge and skills to assess the wound, determine appropriate care, and evaluate for signs of infection. This should be performed by a licensed nurse.
C. This task involves patient education and reinforcement of nursing instructions, which should be conducted by a nurse. While an AP can assist with the use of the incentive spirometer, the initial teaching and reinforcement should be handled by a licensed nurse.
D. This task is appropriate for delegation to an AP. Obtaining a daily weight is a routine task that does not require nursing judgment or assessment beyond standard procedure. The AP can report the weight to the nurse, who will then assess any necessary interventions based on the results.

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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

A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg. client sitting up in a chair." Which of the following information should the nurse clarify?

Correct Answer is B

Explanation

A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer is D

Explanation

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