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Swift River - Health Assessment/Fundamentals with Complete Solutions

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  • 10 de agosto de 2024
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Swift River - Health
Assessment/Fundamentals with
Complete Solutions
Hildegard Lowe
Diagnosis: fractured ulna, macular degeneration, osteoporosis
DOB: 5/22/1956
MRN: 52919120
Room: 103 - ANSWER-Which of the following concerns should the nurse plan to address?
(Select all that apply.)
Physiological: Pain
Physiological: Sensory
Safety: Injury prevention
Physiological: Tissue Integrity


A nurse is observing an AP assisting a client who has visual impairment with their meal.
Which of the following actions by the AP require follow-up by the nurse? (Select all that
apply.)
Feeding the client
Entering client's room without announcing their presence


A nurse is updating the plan of care for a 68-year-old client who has a visual impairment,
osteoporosis, and a casted right arm. Which of the following interprofessional team members
should the nurse recommend the provider consult? (Select all that apply.)
Physical therapy (PT)
Occupational therapy (OT)
Nutritionist
Case manager


A nurse is caring for an older adult client who has a visual impairment, osteoporosis, and a
fractured right arm. Which of the following safety interventions should the nurse implement?
(Select all that apply.)
Orient the client to the environment of their hospital room.

, Clear the pathway from the client's bed to their bathroom.
Place nurse call bell system within reach of the client.


Hildegard Lowe
Diagnosis: fractured ulna, macular degeneration, osteoporosis
DOB: 5/22/1956
MRN: 52919120
Room: 103


Part 2 - ANSWER-A nurse is caring for a client who has fractured their arm and is reporting
pain. Which of the following actions should the nurse take? (Select all that apply.)
Assess the severity of the pain using a numeric pain scale.
Offer to apply an ice pack to the cast at the right forearm.
Reassess the client's fingers on the right hand for skin color, edema, numbness, and
movement.


A nurse is providing care to an older adult client who has a visual impairment, osteoporosis,
and a cast on their right upper extremity and is being discharged home with their adult child.
Which of the following information should the nurse include in the discharge teaching?
(Select all that apply.)
Remove throw rugs from the home environment.
Suggest the use of audiobooks.
Provide the contact information of a community resource that provides assistance for people
who have visual impairments.


Christina Mullen
Diagnosis: urinary tract infection
DOB: 5/16/1983
MRN: 15684873
Room: 104 - ANSWER-Based on the initial assessment findings and client reports, which of
the following concerns should the nurse address when providing care? (Select all that apply.)
Physiological: Pain
Physiological: Infection
Health Promotion: Client Education
Physiological: Elimination

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