During data collection, the nurse identifies the following as subjective data:
1. Laughing during interview
2. "I feel so dizzy"
3. "My dressing is bloody"
4. Temperature is 100.2
5.
2
Rationale 1: The nurse can observe this data, so it is objective data.
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Which client situation presents the greatest risk for the occurrence of hypotonic dysfunc-tion during labor?
a. A primigravida who is 17 years old b. A 22-year-old multiparous woman with ruptured membranes c. A multiparous woman at 39 weeks of gestation who is expecting twins d. A primigravida who has requested no analgesia during her labor
Which of the following are symptoms of mononucleosis? Select all that apply
a. Sore throat d. Otitis media b. Fever e. Splenomegaly c. Apnea f. Cervical adenitis
What is an important consideration for the future of nursing theory development?
A) Development of interdisciplinary theory B) Integration of theory and research into practice C) Theory applicable to health care D) Theory which is specific to nursing
A woman is in labor. The fetus is in vertex position. When the patient's membranes rupture, the nurse sees that the amniotic fluid is meconium-stained. The nurse should immediately:
1. Change the patient's position in bed. 2. Notify the physician that birth is imminent. 3. Administer oxygen at 2 liters per minute. 4. Begin continuous fetal heart rate monitoring.