The nurse is straining the client's urine and measuring the output. Which should be recorded as objective data?

a. The client complained of abdominal pain this morning.
b. There were no stones in the client's strained urine.
c. The client said he didn't see any stones in the urine.
d. The client states, "It felt like I passed a stone."


ANS: B

Nursing

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RhoGAM is given to the postpartum client for the purpose of:

1. Preventing congenital birth defects through vaccination. 2. Preventing or avoiding the chronic state of infection of hepatitis B. 3. Preventing sensitization from the fetomaternal transfusion of Rh-positive fetal red blood cells. 4. Preventing the spread of Group B streptococcal infection in the client's neonate.

Nursing

The clinical picture of the client with osteitis deformans (Paget's disease) includes back and leg pain, a crouched forward posture, and legs that bow outward

The nurse plans care, knowing that these manifestations are caused by disturbances of which of the following? 1. Muscle metabolism and growth 2. Bone resorption and regeneration 3. Nervous system impulse transmission 4. Joint integrity and synovial fluid production

Nursing

The nurse who is talking on the telephone with a depressed adolescent recognizes that the statement indicating the greatest immediate suicide risk is:

a. "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.". b. "My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them.". c. "My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet.". d. "My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.".

Nursing

An ECG tracing from a patient with a pacemaker may have wide or bizarre __________ if the pacemaker captures the chamber it is pacing.?

A) P waves B) T waves C) QRS complexes D) R-R intervals

Nursing