The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The patient reports that he uses the herbal product ginkgo.
d. The patient's laboratory work includes a complete blood count and urinalysis.
ANS: C
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Why is it important for a nurse to inquire about any foreign travel of a patient with a suspected lymphatic or hematologic disorder?
A) To determine the varied sexual history of the patient, if any B) To determine the potential exposure to infectious agents C) To determine whether the patient has had any blood transfusions D) To determine whether the patient adopted any specific dietary habits
When collecting a client's drug history, the nurse recognizes that both bone and muscle function can be most impaired if the client reports taking:
1. aspirin. 2. oral hypoglycemic agents. 3. corticosteroids. 4. potassium-sparing diuretics.
Nightingale defined nursing as "that care which puts a person in the best possible condition for nature to restore or to preserve health, and to prevent or to cure disease or injury."
Indicate whether the statement is true or false
A patient is admitted to the telemetry unit. Which nursing assessment has the highest priority for further investigation?
1. The patient complains of intermittent chest pain during mild exercise. 2. The patient has a history of urinary retention. 3. The patient complains of fatigue and dyspnea after walking up several flights of stairs. 4. The patient's father has a history of smoking.