When teaching students how to perform an assessment, the nurse informs the students that the reason this information needs to be accurate and complete is:
To allow for the client to focus on the illness
To allow for the client to spend more time with the nurse
To allow the nurse more time to know the client
To develop a plan with interventions that promote health
The Correct Answer is D
A. To allow for the client to focus on the illness: Accurate and complete information is crucial for developing a proper care plan but not directly related to the client’s focus on their illness.
B. To allow for the client to spend more time with the nurse: Accurate information helps in forming a plan but does not necessarily impact the amount of time spent with the nurse.
C. To allow the nurse more time to know the client: While knowing the client is important, the primary reason for accurate information is to develop effective interventions.
D. To develop a plan with interventions that promote health: Accurate and complete assessment information is essential for developing a comprehensive care plan and interventions that address the client’s health needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Blood pressure pattern: Blood pressure patterns are crucial for assessing cardiovascular health as they indicate potential issues like hypertension or hypotension, which are related to heart function.
B. Dyspnea: Dyspnea (difficulty breathing) is important in a cardiovascular assessment as it can be a sign of heart failure or other cardiac conditions affecting respiratory function.
C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide information about heart or vascular health.
D. Peripheral Edema: Peripheral edema (swelling in the limbs) can be a sign of heart failure or other circulatory problems, making it relevant for cardiovascular assessment.
E. Constipation: Although constipation can affect overall health, it is not typically included in a cardiovascular assessment as it does not provide direct information about cardiovascular status.
Correct Answer is D
Explanation
A. External Eye Structures: This assessment involves examining the visible parts of the eye and surrounding structures, not the distance vision.
B. Near Vision: Near vision is typically assessed using a reading chart held at a close distance, not a chart mounted on the wall.
C. Peripheral Vision: Peripheral vision assessments involve testing the field of vision to detect loss or abnormalities, rather than focusing on distant vision.
D. Distant Vision: Standing 20 feet from a chart to read letters tests distant vision, as it assesses the ability to see objects clearly at a distance.
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