The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)
Wash hands
Provide patient privacy
Obtain a provider healthcare order
Position the client comfortably on the sturdy examination table
Explain the procedure to the client
Correct Answer : A,B,D,E
A. Washing hands is a crucial step to prevent infection and maintain hygiene before any physical assessment.
B. Providing patient privacy is essential to ensure the client's comfort and confidentiality during the assessment.
C. While it’s important to follow the provider’s orders, a routine check-up typically does not require a new healthcare order, as the nurse can perform the assessment as part of standard care.
D. Positioning the client comfortably on the examination table is necessary to facilitate the assessment and ensure the client's comfort during the procedure.
E. Explaining the procedure to the client helps to alleviate anxiety, improve understanding, and foster cooperation during the assessment.
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Correct Answer is ["A","B","C","E"]
Explanation
A. Erythema (redness) can occur at the site of a gout attack due to inflammation in the affected joint.
B. Hyperuricemia (elevated levels of uric acid in the blood) is a hallmark of gout, leading to the formation of urate crystals.
C. Pain is a prominent symptom of gout, particularly during an acute attack when joints become inflamed and tender.
D. Diarrhea is not a direct complication of gout; it is more associated with gastrointestinal issues or medications.
E. Edema (swelling) can occur in the affected joint due to inflammation associated with gout.
Correct Answer is D
Explanation
A. Flexion refers to bending the joint, which does not apply when turning the palm down.
B. Supination is the movement of turning the palm up, which is the opposite of what is being tested here.
C. Rotation refers to the circular movement around a central point, but it does not specifically describe the action of turning the palm down.
D. Pronation is the movement of turning the palm down, which is exactly what the client is doing when asked to perform this maneuver.