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 ["B","C"]
Explanation
This information is relevant to the client's condition and should be documented in the medical record. It provides important information about the client's physical status following the fall and may influence subsequent care decisions.
B. This information is typically documented in the incident report itself rather than the client's medical record. While it is important for the healthcare facility's records, it is not typically included in the client's medical record unless there are specific policies or procedures mandating such documentation.
C. This information is more relevant to administrative records and risk management procedures rather than the client's medical record.
D. This information is relevant to the client's care and should be documented in the medical record. It indicates that appropriate actions were taken following the incident.
Correct Answer is B
Explanation
Dairy products contain lactose, and individuals with lactose intolerance often experience gastrointestinal symptoms such as bloating, gas, and diarrhea after consuming dairy. Advising the client to decrease dairy products in their diet can help alleviate these symptoms and manage lactose intolerance effectively.
A, C, D do not directly relate to lactose intolerance.
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