The nurse is identifying the types of data collected during the assessment of a client. Which of the following is an example of subjective data?
a. Nausea c. Cyanosis
b. Pulse of 62 d. Facial grimace
ANS: A
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A patient is using an albuterol (Proventil) inhaler, which is a bronchodilator. Which of the following patient teaching interventions is important for the patient who is experiencing shortness of breath related to constriction of airways?
A) Administer insulin to decrease hand shaking B) Administer ibuprofen (Advil) to decrease inflammation C) Exercise should be limited to one time per week D) Stop smoking due to the bronchoconstriction
What can the nurse provide that allows the client a positive forward progression in the treatment process?
A) A therapeutic relationship B) Alternative activities to thoughts of self-injury C) A safe and trusting environment D) A sense of power and self-control
A child with sickle-cell disease is being admitted with splenic sequestration crisis. Which of the following rooms would be most appropriate for this child?
1. Semi-private room 2. Reverse-isolation room 3. Contact-isolation room 4. Private room
Answering a series of specific questions can help a nurse determine if intervention is needed in a specific situation. Which question should be answered while providing care?
A) "Why did the physician change the medication order?" B) "What can I do to detect potential complications?" C) "What can happen if I don't order a repeat laboratory test?" D) "What part of the body will be affected most?"