When assessing a client in the home, a nurse suspects that the ...

[evelyn o bentley]

When assessing a client in the home, a nurse suspects that the client may have a cognitive impairment. To validate the assessment findings, the nurse should first:
 
  A. Refer the client for a psychiatric examination
  B. Call for a social worker to fully assess the client's needs
  C. Ask the family members for all of the necessary information
  D. Review home management tasks and abilities with the client

Question 2

The pulmonic area for auscultation is found at the:
 
  A. Second intercostal space on the right side
  B. Second intercostal space on the left side
  C. Third intercostal space (Erb's point)
  D. Fourth intercostal space along the sternum

[yotaSR5]

Answer to Question 1

D
D. An important aspect of safety is a person's ability to perform routine activities of daily living (ADLs) and to make correct decisions about home management activities. Home management includes use of the telephone, cleaning, shopping, money management, meal preparation, and taking medication. A person who is unable to perform these activities or who requires assistance from another may have physical disabilities and/or cognitive limitations.
A. Psychiatric examination may not reveal critical issues about the client's ability to function in the home environment.
B. The nurse will gather data from the client and family to assess the cognitive functioning of the client.
C. Family members will provide some information, but the client is the primary source.

Answer to Question 2

B
B. The pulmonic area is at the second intercostal space on left.
A. The aortic area is at the second intercostal space on the client's right.
C. The second pulmonic area is found by moving down left side of sternum to the third intercostal space, also referred to as Erb's point.
D. The tricuspid area is located at the fourth left intercostal space along the sternum.

[evelyn o bentley]

Gracias!

[kusterl]

Excellent