A nursing student has just completed the examination of an assigned patient and approaches the instructor to discuss the results
The student tells the instructor that the patient said he has been experiencing fatigue when mowing the lawn or when climbing the stairs. The nursing instructor asks the student, "What source data has the client's statement provided you?" The instructor is attempting to determine if the student understands which of the following? a. Objective data c. Supplemental data
b. Subjective data d. Testable data
B
Subjective data are usually obtained from the patient. These data are subjective in that they cannot always be verified by an independent observer. Subjective data include what the patient says and what the patient thinks. It includes the attitudes and beliefs of the patient.
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The client is receiving sodium chloride 0.45% by IV infusion. If the fluid is infused beyond the client's tolerance, the client is at risk for:
1. cardiac overload. 3. cellular dehydration. 2. water intoxication. 4. increased osmotic pressure.
The nurse learns that a client of the Jewish faith does not eat certain types of foods and fasts on religious holidays. Which intervention would help support the client's cultural practice?
1. Research the client's practices. 2. Obtain a consult with the dietician. 3. Document the client's preferences on the assessment form. 4. Communicate the client's practices to the healthcare team.
While instructing a couple regarding birth control, the nurse should be aware that the method called natural family planning
a. Is the same as coitus interruptus, or "pulling out" b. Uses the calendar method to align the woman's cycle with the natural phases of the moon c. Is the only contraceptive practice acceptable to the Roman Catholic Church d. Relies on barrier methods during fertility phases
The nurse has difficulty eliciting an Achilles reflex response. What reinforcement technique may be used to enhance this response?
1) Smile 2) Dorsiflex foot 3) Plantarflex foot 4) Interlock hands