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The Health Promotion Model would best support the care this client needs because it focuses on empowering individuals to take control of their own health behaviors and make positive changes. This model emphasizes the importance of self-efficacy, or the belief in one's ability to successfully change behavior, which aligns with the client's desire to quit smoking but needing help to do so. By using this model, the nurse can provide the client with resources, support, and strategies to assist in their smoking cessation journey.

The correct answer demonstrates the documentation of subjective information because it is a statement made by the patient about their own experience or perception of pain. Subjective information is based on personal feelings, beliefs, and opinions, and cannot be measured or observed by others. In contrast, the other options in the question are objective findings that can be measured, observed, or assessed by the nurse.

In this scenario, the nurse is measuring the client's vital signs, which are measurable and observable data such as blood pressure, heart rate, temperature, and respiratory rate. These vital signs can be collected through direct observation or by using medical instruments. Therefore, the nurse is collecting objective data, which refers to factual and measurable information that does not depend on personal opinions or interpretations.

Dry lips and mucous membranes are a strong indicator of fluid volume deficit. When a person is dehydrated, the body’s tissues begin to lose moisture, which often manifests visibly as dryness in the lips and mucous membranes. This sign is commonly observed in cases of dehydration resulting from vomiting, diarrhea, or inadequate fluid intake, and is a key indicator for a nurse to recognize and address a potential fluid volume deficit.

The client's statement about becoming short of breath when sitting in city traffic indicates that the external environment, specifically the air quality in the city, is affecting her breathing. This is supported by the fact that she experiences this symptom only when sitting in city traffic, suggesting that it is not related to her cultural background, internal body functions, or emotions.

Given Ms. Wong's symptoms of pain, vomiting, diarrhea, and fever, the risk of deficient fluid volume is the most urgent concern. Vomiting and diarrhea can quickly lead to dehydration, which can worsen if not addressed promptly. Dehydration due to fluid loss can lead to complications such as electrolyte imbalance, decreased blood pressure, and organ dysfunction, making it a critical issue to prioritize.

Laboratory data is considered a secondary source of information. Other secondary sources include charts, reports from diagnostic testing, and information from family and other members of the health team.
Constant data is information that does not change over time, such as race, gender, or blood type.
The primary source of information is the client.
Subjective data is information obtained from the client during the health history.

A focused interview is the portion of the health assessment where the nurse asks more detailed questions to clarify points and follow up on concerns expressed by the client during the interview. This allows the nurse to gather more specific information and gain a deeper understanding of the client's health history and concerns. It helps the nurse to focus on specific areas of the client's health and gather objective data to further assess and interpret the findings.

The nurse is considering more than the physiologic health status of the client. Holism includes all factors that impact the client's physical and emotional well-being.

There is no information in the question that links the client's culture and home situation with pain.

The developmental level has an impact on health assessment. However, there is no information in the question that links the client's developmental level and home situation with pain.

Communication refers to the exchange of information.

The nurse in this scenario is functioning as a manager. They are responsible for coordinating the client's therapy appointment, morning care, and radiology appointment. This involves organizing and scheduling these different aspects of the client's care, which is a managerial role.

Clinical nurse specialists have advanced education and degrees in a specific aspect of practice. They provide direct client care, direct and teach other team members providing care, and conduct nursing research within the area of specialization.
The nurse researcher identifies problems regarding client care, designs plans of study, develops tools, analyzes findings, and disseminates knowledge.
Nurse practitioners provide client care independently in a variety of settings.
Nurse administrators have a variety of responsibilities, including staffing, budgets, client care, and consulting.

The nurse is most likely using charting by exception as a type of documentation. This method involves only documenting significant findings or exceptions to the normal assessment, rather than documenting every detail. It is often represented by checkmarks and short notations on a flow sheet. This approach allows for more efficient and streamlined documentation, as it focuses on deviations from the expected rather than repetitive normal findings.

Documentation of data collected in a health assessment should be completed as soon as possible. With the delay of three hours, there is a chance that the information will not be highly accurate, focused, concise, thorough, or complete. Ideally, the nurse should document sooner than three hours after the assessment.

The nurse is demonstrating the diagnosis phase of the nursing process. This phase involves analyzing and clustering the data collected during the health interview to identify patterns, problems, and potential nursing diagnoses. By grouping the data together, the nurse can identify commonalities and make connections to formulate a diagnosis and develop a plan of care.

In the scenario where Ms. Wong reports symptoms of pain, vomiting, diarrhea, and fever, prioritizing which symptom to assess first depends on the severity and potential for rapid health deterioration. Each symptom is a concern, but some may indicate more severe underlying issues:

Fever could indicate an infection or inflammatory response and is crucial to assess, but it might not be the most immediately dangerous unless very high.

Vomiting and diarrhea can lead to dehydration quickly, especially if they are severe and persistent. Dehydration can cause significant health issues, including electrolyte imbalances and renal problems. 

Given these considerations, vomiting often takes priority for assessment because it can rapidly lead to dehydration, making it potentially the most immediately dangerous symptom. Addressing vomiting can help prevent dehydration and stabilize the patient for further evaluation and treatment. Therefore, vomiting should be assessed first in this case.