During an assessment a client tells the nurse he has pain in the left knee. How should the nurse consider this information?
1. Subjective data
2. Nonrelevant data
3. Objective data
4. Historical data
Answer: 1
1. Subjective data are information only the client can describe.
2. A complaint of pain is relevant.
3. Objective data are observable and measurable.
4. A complaint of pain is current data.
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Which of the following statements is true about a patient with a blunt cardiac injury/cardiac contusion?
a. It will probably be diagnosed by pericardiocentesis. b. Hemodynamic parameters will most likely show a low cardiac output and low systemic vascular resistance. c. Treatment can require insertion of a temporary pacemaker for conduction control. d. The only accurate way to evaluate cardiac contusion is to check the creatine phosphokinase fraction.
How should the nurse position the patient who has decreased cardiac output?
a. semi-Fowler's c. prone b. supine d. Sims'
When planning care for a client, the nurse will include interventions to address factors that predispose the client to developing gout, including:
Standard Text: Select all that apply. 1. taking a prescribed thiazide diuretic. 2. taking aspirin every day. 3. drinking four beers every night. 4. receiving treatment for polycythemia. 5. being diagnosed with heart failure.
A patient is being treated with zalcitabine. The nurse should reinforce which information?
1. There is no risk of peripheral neuropathy with this agent. 2. This agent is primarily metabolized by the liver. 3. Diplopia is a common side effect. 4. Food delays and reduces absorption.