Residents in an assisted-living facility attend a daily exercise class. Their blood pressures and heart rates are monitored before, during, and after exercising. While they are riding stationary bicycles, a nurse notices the signs listed below
Which patient should stop exercising? A) Mr. A's systolic blood pressure has increased by 25 mm Hg.
B) Mr. B's heart rate has increased to 90 beats per minute.
C) Ms. C's face is flushed.
D) Ms. D is breathing rapidly.
A
Feedback:
Only Mr. A's condition warrants that he should stop exercising. The others may feel a bit tired, but they are not exhibiting dangerous signs.
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The nurse is caring for a dying child. The nurse understands that the major goal for a child who is dying is to:
1. Promote comfort and keep the child pain-free. 2. Ensure that a good relationship is maintained with the family. 3. Keep the child entertained so she does not think about dying. 4. Maintain a busy schedule for child and family members.
Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder? a. "I have to keep checking to see where my car keys are.". b. "My legs feel weak most of the time.". c. "I'm afraid to go out in public.". d. "I keep reliving the rape.".
The manipulative patient approaches the nurse and says, "I know it's too early to give me my pain medication, but you are the only one who seems to care. Could you give me my pain medi-cation now?" The best response would be:
a. "The charge nurse is really tough about scheduled medications. She would be very angry with me if I gave you the medica-tion now." b. "I know how it is when you are in pain. I'll give you your medication early." c. "Your medication is due in 2 hours. I will be glad to give it to you on schedule." d. "It makes me feel good to know you are appreciative of our care. Here is your me-dication."
The following are data from a client. Which is an example of subjective data?
a. The client reports having nausea. b. The client's blood pressure is 120/82 mm Hg. c. The client has a reddened area on the but-tocks. d. The client's blood sugar is 100 g/dl.