As part of an assessment, the nurse asks the patient for subjective information related to the present illness. What are the subjective findings perceived by the patient?
a. Assessments
b. Symptoms
c. Signs
d. Observations
ANS: B
Symptoms are subjective indications of illness that are perceived by the patient.
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A nurse sees the term "proptosis" in a child's medical record. Which physical assessment does the nurse plan to incorporate into the child's exam based on this finding?
A. Balance testing B. Hearing screen C. Visual acuity D. Strength testing
When giving a tubal medication, the nurse should flush the tubing with ___ to ___ mL of water
ANS:
A male patient tells the nurse that he has "excruciating pain" in his perineal region that started a few days after having an indwelling urinary catheter removed
Upon inspection, the nurse sees a dime-sized reddened area on the patient's perineum below the scrotal sac. Which of the following should the nurse do to help this patient? 1. apply a warm compress to the region 2. apply ice to the region 3. obtain an order for a pain medication 4. have the wound further evaluated for possible Fournier's gangrene
A risk factor for the development of delirium in older adults is:
A) Age-related cognitive changes that make older adult clients more susceptible to changes in mental status. B) A lack of rigorous exercise that leads to decreased cerebral blood flow. C) Administration of multiple medications that may cause drug-drug interactions or toxicity. D) Decreased social interaction that leads to profound isolation and psychosis.