Which of the following collected by the nurse is subjective data?
1. Clubbing fingertips
2. Avoidance of eye contact
3. Nausea
4. Vomiting
3
Rationale 1: Subjective data are data that the client experiences that are not visible or measurable by the nurse. Clubbing fingertips, avoidance of eye contact, and vomiting are concrete and visible to the nurse, so they would be considered objective data.
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The nurse is planning care for a client who is disabled. Which is an advantage of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) when assessing this client?
1. It is applicable across cultures. 2. It is cost effective. 3. It does not require training. 4. It is already included in the nursing assessment.
A patient recovering from a total hip replacement develops a fever and redness at the surgical site. The nurse's priority is to conduct additional assessment for which disorder?
1. Pathologic fracture 2. Osteomyelitis 3. Undiagnosed osteitis deformans 4. Subacute osteoporosis
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1. Keeping the child's immunizations up-to-date and wearing a face mask in public 2. Limiting intake of protein and foods with red and yellow dyes 3. Avoiding stimuli such as secondhand smoke, pollutants, and cold air 4. Homeschooling the child and limiting his contact with other children who might have upper respiratory infections
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A) 1 pound B) 1/2 pound C) 2 pounds D) 2 1/2 pounds