Objective reporting means interpreting what you observe
True
False
False
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The nurse reads on the client's chart that the provider discovered a neoplasm in the client's abdomen. The nurse interprets this to mean that the client:
1. Has metastatic cancer. 2. Is pregnant. 3. Is at increased risk for cancer. 4. Has an abnormal growth of tissue.
During the focused interview, the client confides in the nurse issues with anxiety. During the physical assessment, which findings support the presence of anxiety? Select all that apply
1. The client complains of pain when the tragus is gently manipulated. 2. The client has several small ulcers on her lip. 3. Pale nasal mucosa 4. Small sores are noted within the mouth. 5. Perforated nasal septum
A client has a body temperature of 95 °F and exhibits slurred speech and poor coordination. Which is the priority nursing diagnosis for this client?
A) Disturbed Sensory Perception B) Acute Confusion C) Hypothermia D) Imbalanced Body Temperature
Which laboratory result does the nurse identify as a direct result of the client's hypovolemic status with hemoconcentration?
A) Abnormal potassium level B) Elevated hematocrit level C) Low white blood count D) Low urine specific gravity