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A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health.

Review the client's current medication list and check for any missed doses.

Focus on the client's most recent laboratory results and compare them to past results.

Conduct a detailed family history to identify any genetic predispositions to the chronic illness.

Answer and Explanation

The Correct Answer is A

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. ADL assessment provides crucial information about how well the client is managing their chronic illness and maintaining functional independence.

B. Review the client's current medication list and check for any missed doses. While this is important, it is a secondary concern compared to assessing functional status, which has a broader impact on health outcomes.

C. Focus on the client's most recent laboratory results and compare them to past results. Lab results are valuable but do not provide a comprehensive view of how the illness affects the client's daily life.

D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness. Genetic predispositions are relevant for diagnosis and prevention but do not evaluate current management of the condition.

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Correct Answer is A

Explanation

A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.

B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.

C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.

D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.

A. Pain that has been present for more than six months and is associated with ongoing tissue damage. B. Pain that occurs suddenly and is typically related to a specific injury or trauma. C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior. D. Pain that is described as dull and persists despite the absence of an obvious cause.

Correct Answer is B

Explanation

A. Pain that has been present for more than six months and is associated with ongoing tissue damage: This describes chronic pain, which persists over time and is not indicative of acute pain.

B. Pain that occurs suddenly and is typically related to a specific injury or trauma. Acute pain is characterized by its sudden onset, often associated with a specific cause, such as injury or surgery.

C. Pain that fluctuates in intensity and is often accompanied by changes in mood and behavior: This describes chronic pain, which may have episodic flare-ups and can impact emotional well-being.

D. Pain that is described as dull and persists despite the absence of an obvious cause: This is more indicative of chronic pain, which may not be directly linked to ongoing tissue damage.

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A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

Nursing Test Bank

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