Which of the following data regarding a client with a diagnosis of colon cancer are subjective? Select all that apply
A) The client's chemotherapy causes him nausea and loss of appetite.
B) The client became teary when his daughter from out of state came to the bedside.
C) The client's ileostomy put out 125 mL of effluent in the past four hours.
D) The patient is unwilling to manipulate or empty his ostomy bag.
E) The patient has been experiencing fatigue in recent weeks.
Ans: A, E
Reports of nausea, anorexia, and fatigue are subjective data that depend on the client's self-report. Weeping, ostomy output, and an inability to perform a kinesthetic task are observable assessment findings that would be characterized as objective.
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Order: KCl 80 mEq p.o. Available: KCl 40 mEq/30 mL
a. 45 mL b. 30 mL c. 60 mL d. 3 mL
The statement made by a client with borderline personality disorder that indicates the treatment plan
is effective is a. "I think you are the best nurse on the unit.". b. "I hate my doctor. He never gives me what I ask for.". c. "I feel empty and want to cut myself so I called you.". d. "I'm never going to get high on drugs again.".
The use of advanced practice registered nurses (APRNs) would help reduce the costs of health care. To be the most effective, APRNs
a. should be reimbursed by the physician they work for b. practice under the state practice act for physician assistants c. work directly under a physician in a managed care plan d. need prescriptive authority and professional liability insurance to be effective providers of health care
A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels. She shows the nurse her readings for the past few days
Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)? 1. 75 mg/dl before lunch; this is low, better eat now 2. 115 mg/dl 1 hour after lunch; this is a little high, maybe eat a little less next time 3. 115 mg/dl 2 hours after lunch; this is too high, time for insulin 4. 60 mg/dl just after waking up from a nap; this is too low, maybe eat a snack be-fore going to sleep