Symptoms are:
a. Objective data
b. Subjective data
c. Seen, felt, touched, or heard
d. Observed
B
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The new mother calls the nurse to her room to show how her baby is "jerking around" when she changes his position. The nurse explains that this response is the normal:
a. traction reflex. b. Babinski reflex. c. tonic neck reflex. d. Moro reflex.
A 40-year-old patient says, "I am afraid to have a mammogram. I have heard that they hurt and I am afraid to have radiation to my breasts."
What information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Mammograms are required every 1 to 2 years for women over age 40.". 2. "The amount of radiation used in mammograms is very low.". 3. "Mammograms can detect breast masses up to 2 years before they can be felt from the outside.". 4. "The pain you experience in mammography is well worth the benefits.". 5. "Mammograms can help us see small deposits of calcium that sometimes occur with cancerous lesions.".
A patient with depression paces, pulls at clothing constantly, and cannot sit for longer than 5 minutes. The patient ruminates about being a "bad" person. Select the most effective nursing intervention
a. Reassure the patient. b. Direct the patient to lie down every 2 hours. c. Ask the patient to assist in a simple, repetitive activity. d. Seek a prescription for a PRN antipsychotic medication.
A patient on an anticoagulant is going home and needs his peripheral intravenous (IV) line removed. Which action is essential for the nurse to take?
a. Pull the IV catheter out smoothly but quickly. b. Apply sterile gloves before going to the patient's bedside. c. Check the most recent clotting studies. d. Apply pressure over the insertion site after removal of the IV line for 5 to 10 minutes.