During an admission assessment the nurse collects objective and subjective data. An example of subjective data is that the patient:
a. is asleep.
b. is tearful.
c. has facial grimacing.
d. states, "I hurt all over."
D
Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Stating "I hurt all over." is an example of subjective data. All other options are examples of objective data.
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A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the production of these symptoms?
1. Abnormal levels of serotonin2. Decreased levels of dopamine3. Increased levels of norepinephrine 4. Decreased levels of acetylcholine
You are caring for a patient who is going to have an open renal biopsy. What would be an important nursing action in preparing this patient for the procedure?
A) Discuss the diagnosis with the family. B) Bathe the patient before the procedure with aseptic soap. C) Give antibiotics before sending the patient to surgery. D) Keep the patient NPO.
The nurse cautions a client who is taking anticoagulants to avoid herbal preparations containing bioflavonoids, and recognizes that this instruction is essential because bioflavonoids may
a. increase the blood-clotting mechanism b. interact with the anticoagulant and cause gastrointestinal disturbances c. augment antiplatelet activity in the blood d. increase the likelihood of cardiovascular accident
The person who has Huntington's disease asks if his disease will affect children he might have. Which statement by the nurse is most accurate?
a. "No. Huntington's disease has no genetic link." b. "Yes. Your children will either have Hun-tington's disease or be carriers." c. "No. Huntington's disease is caused by an autoimmune response." d. "Yes. Because of the nature of Hunting-ton's disease, 50% of your children will have the disease."