When conducting a physical assessment of the extremities, which of the following assessments would be the most correct?
Assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
Rebound tenderness in both the arms and legs, skin turgor, and moisture.
Assess the measurements in centimeters of each extremity, pulses, and varicosities.
Assess pulses, strength, range of motion, percussion, odor, and edema.
The Correct Answer is A
The correct answer is choice A. When conducting a physical assessment of the extremities, the most appropriate assessment would be to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity. This comprehensive assessment can help to identify potential issues with circulation, strength, and skin integrity, and can also provide a baseline for ongoing assessments. Rebound tenderness in both the arms and legs, skin turgor, and moisture (choice B) are not typically assessed during a physical assessment of the extremities. Assessing the measurements in centimeters of each extremity, pulses, and varicosities (choice C) may be appropriate in certain situations, but it is not a comprehensive assessment of the extremities. Assessing pulses, strength, range of motion, percussion, odor, and edema (choice D) is also not a comprehensive assessment of the extremities and may not provide a complete picture of the client's condition. Therefore, the most appropriate assessment when conducting a physical assessment of the extremities is to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
The correct answer is choice C. "I will need palliative care to assist with treating my symptoms so that I can have quality of life across the span of my illness." Palliative care aims to improve the quality of life of patients and their families facing life-threatening illnesses. The goal of palliative care is to provide symptom management, pain relief, and support to patients and families throughout the course of their illness. Hospice care is a type of palliative care for patients with a life expectancy of six months or less, where the focus of care is comfort rather than curative treatment.
Correct Answer is C
Explanation
The correct answer is choice C, "Can you tell me more about why you are undecided?"
When a patient is undecided about receiving recommended chemotherapy treatment, the most therapeutic response from the nurse would be to ask the patient to tell more about why they are undecided. This approach allows the patient to express their feelings and concerns about the treatment, which may help them come to a decision. The nurse should not tell the patient what they should do or criticize them for taking time to decide. The decision to undergo chemotherapy is a significant one, and the patient needs to feel that they have support and guidance from their healthcare provider to make an informed decision.
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