In the Problem Oriented Medical Record documentation system (POMR), which of the following answers best represents the person or persons who may contribute to the problem list representing the client's physiologic, psychologic, social, cultural, spiritual, developmental, and environmental needs?

Correct Answer: D

Rationale: In POMR, all caregivers contribute to the problem list, reflecting a holistic view of the client's needs across domains. This interdisciplinary input from nurses, physicians, social workers ensures comprehensive care, like noting spiritual distress alongside physical issues. Limiting to specific roles misses diverse perspectives, a strength of this system in nursing documentation.

Correct Answer: B

Rationale: Lean men have the highest water percentage, around 60-65%, due to less fat, unlike fat men, women, or fat women. Nurses apply this in fluid assessments.

Correct Answer: C

Rationale: Dependent edema swelling in lower body parts points to a cardiovascular complication of immobility, arising from poor venous return and fluid buildup due to stasis. Heart rate or cardiac output increases aren't specific to this, and normal blood pressure doesn't flag issues. Nurses check for this to detect circulatory problems early, applying measures like elevation or compression to reduce risks like thrombosis, vital in managing immobility's cardiovascular effects.

Correct Answer: A

Rationale: Increasing oxygen-carrying capacity (A) is the primary indication for oxygen therapy in anemia, compensating for reduced hemoglobin by boosting dissolved oxygen in plasma. Reducing iron deficiency (B) or enhancing erythropoiesis (D) requires other treatments. Tissue healing (C) is a byproduct. This approach mitigates hypoxia symptoms, per hematology care, vital until anemia is corrected.

Correct Answer: C

Rationale: Applying a sterile dressing (C) over the tracheostomy site prevents infection by barring pathogens and supports oxygen delivery by maintaining a clean airway. Suctioning (A) clears secretions but not infection. Hourly RR (B) is monitoring, not prevention. Humidified oxygen (D) aids comfort, not sterility. Sterile dressing, per tracheostomy care, is the priority.