Which of the following items of subjective client data would be documented in the medical record by the nurse?
A. Client's face is pale
B. Cervical lymph nodes are palpable
C. Nursing assistant reports client refused lunch
D. Client feel nauseated
Ans: D. Client feel nauseated
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The nurse who assesses the patient's peripheral IV site and notes edema around the insertion site will document which complication related to IV therapy?
A) Air emboli B) Phlebitis C) Infiltration D) Fluid overload
What should nursing interventions to maintain a patent airway in a newborn include?
a. Positioning the newborn supine after feedings. b. Wrapping the newborn as snugly as possible. c. Placing the newborn to sleep in the prone (on abdomen) position. d. Using a bulb syringe to suction as needed, suctioning the nose first and then the pharynx.
The nurse accesses previous hospitalization information to learn more about the client's previous health history. In what way is the availability of the client's health information assisting with the planning to address new care needs?
1. Ability to monitor quality 2. Access warehoused data (stored data) 3. Client sharing of knowledge that influences health 4. Constant availability of client health information
To gather subjective data on a client's nutrition and metabolic pattern, the nurse should:
A) weigh the client and measure his height. B) ask the client for a 24-hour diet recall. C) examine the hygiene of the client's teeth. D) inspect the client's abdomen for symmetry.