A nurse is speaking with several clients at a health fair.
Which of the following statements should the nurse assess further?
"Prepare my medications for the week on Sundays.".
"Prepare all of my own meals.".
"Need to change my hearing aid battery weekly.".
"Have to turn my head completely to see things that are beside me.".
The Correct Answer is D
This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.
Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.
Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.
Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nurses should withhold the name of the client who has an STI during partner notification. This statement indicates an understanding of the importance of maintaining client confidentiality while also ensuring that partners are notified of their potential exposure to an STI.
Choice B is not the best answer because it is not Congress that mandates the requirements for STI reporting, but rather the Centers for Disease Control and Prevention (CDC).
Choice C is not the best answer because state health departments report selected STIs to the CDC, not to the National Institutes of Health.
Choice D is not the best answer because clients who have STIs are not legally required to provide a list of sexual partners, although they may be encouraged to do so voluntarily.
Correct Answer is C
Explanation
An adolescent who has scoliosis should be recognized as the highest priority because scoliosis can progress rapidly during growth spurts and can lead to long-term health problems if left untreated.
Choice A is incorrect because while psoriasis may require medical attention, it is not necessarily a high-priority condition.
Choice B is incorrect because a BMI of 18 falls within the normal range for children and adolescents and does not necessarily indicate a health concern.
Choice D is incorrect because while nits may indicate a lice infestation, it is not necessarily a high-priority condition.
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