The nurse is assessing the body alignment of an alert and mobile ...

[lb_gilbert]

The nurse is assessing the body alignment of an alert and mobile client. Which of the following is the first action the nurse should take?
 
  a. Observe gait.
  b. Put the client at ease.
  c. Determine activity tolerance.
  d. Determine range of joint motion.

Question 2

A client has just been informed by her physician that she has cancer. The client says that she is not ready to discuss this with her family.
 
  The nurse encourages the client to consider sharing the information with her family so that the family can support her through the decisions she will need to make regarding her care. Which following principle must the nurse be careful not to breach? a. Confidentiality
  b. Fidelity
  c. Veracity
  d. Justice

[juwms]

Answer to Question 1

B
The first step in assessing body alignment is to put the client at ease so that unnatural or rigid positions are not assumed.
When assessing body alignment, the nurse's first action is to put the client at ease. Later, the nurse may assess the client's gait to observe the client's balance, posture, and ability to walk without assistance.
Activity tolerance is the kind and amount of exercise or activity a person is able to perform. De-termining activity tolerance is not the first step in assessing a client's body alignment.
Assessing range of motion (ROM) is one of the first assessment techniques used to determine the degree of damage or injury to a joint. It is not the first step in assessing a client's body alignment.

Answer to Question 2

A
The nurse should recognize the importance of privacy and confidentiality and safeguard the cli-ent's personal, family, and community information obtained in the context of a professional rela-tionship.
Fidelity refers to an agreement to keep promises.
Veracity, in general, means accuracy or conformity to truth. In this situation, the nurse encour-ages the client to be truthful with her family.
Justice refers to fairness.

[lb_gilbert]

TYSM

[patma1981]

Excellent