A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse?
(Select All that Apply.)
Explain the purpose of the interview to the client.
Establish the client's reliability as a historian.
Collect the necessary equipment essential to the exam.
Construct the client's family genogram.
Correct Answer : B,D
B. Assessing the client's reliability as a historian involves gathering information about their medical history, symptoms, and health behaviors. While this is an important aspect of client assessment, it may not be immediately necessary right before performing the physical exam.
D. Constructing the client's family genogram is an important aspect of assessing their family history, which may be relevant to their current health condition. However, this task is not immediately necessary right before performing the physical exam and can be completed at a later time during the assessment process.
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Related Questions
Correct Answer is D
Explanation
It indicates that the client acknowledges the importance of having a safety plan and is willing to take proactive measures to ensure their well-being and that of their child. This response suggests a positive engagement with the safety plan provided by the nurse.
A. This response indicates that the client may not perceive their current situation as unsafe or may not be ready to take action to address potential safety concerns.
B. This response suggests that the client may have misconceptions about how the presence of a baby in the home affects safety, especially in the context of intimate partner violence.
C. While expressing gratitude for the information provided is a positive response, it does not necessarily indicate whether the client understands the seriousness of the situation or plans to utilize the resources provided.
Correct Answer is C
Explanation
Examination of the tympanic membrane causes some level of discomfort in the child. This may make the child apprehensive making the rest of the exam impossible. Therefore, examination of the tympanic membrane should be done last.
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