44. When making a home visit to a family with a teething 4-month-old, what information is most important for the nurse to provide the parents?
a. Though child development is characterized by individual differences, first teeth usually erupt during the seventh month.
b. Providing cooled teething toys can help decrease the discomfort associated with tooth eruption.
c. No action is required for the common symptoms associated with teething, which include drooling,
irritability, and poor sleeping.
d. A slight fever is often associated with teething, but a fever lasting more than three days requires medical attention.
Which technique is most important for the nurse to implement when performing a physical assessment?
The most important factor in performing a physical assessment is following a consistent and systematic technique (C) each time an assessment is performed to minimize variation in sequence which may increase the likelihood of omitting a step or exam of an isolated area.
What should the nurse do prior to performing an assessment on a client?
What should the nurse do prior to performing an initial assessment on a newly admitted client? Review the records available on the client. Explanation: Records prepared by different members of the health care team provide information essential to comprehensive nursing care.
When performing an assessment which of the following would the nurse use as a primary source of data?
A nurse assesses a client, obtaining information from a primary source. The nurse has gathered the information from which of the following? (Client is the primary source of information.
Which action should the nurse implement when using the confrontation technique?
Which action should the nurse implement when using the confrontation technique during a vision exam? Stand behind the client and direct the client to tell the nurse when an object enters the peripheral field of vision.