Upon admission, a client's temperature measured 99.4 degrees Fahrenheit, pulse rate was 90 beats per minute, respirations were 24 per minute, and blood pressure was 190/100 . What type of measurements do these represent?
a. subjective data
b. client outcomes
c. nursing diagnosis
d. objective data
D
Vital signs are an example of objective data secured by the nurse. Subjective data would be information provided by the client's statements. The nursing diagnosis is an analysis of the assessed data, and outcomes are the desired goals to achieve as a result of treatment.
You might also like to view...
The psychiatric–mental health nurse is asked to consult with an emergency room nurse about a client who has been refusing to cooperate with lab work for over four hours
The client appears frightened, answers questions reluctantly, and has no family present. Which response of the psychiatric–mental health nurse demonstrates a humanistic–interactional approach to the situation? 1. "Have you asked if the client wants to have a friend or family member to be here?" 2. "Have you offered medication for anxiety?" 3. "Give the client some time alone to decide whether or not to accept treatment." 4. "I would ask for a full psychiatric evaluation before discharge."
A faculty member is discussing systemic lupus erythematosus (SLE) with a group of nursing students. Which pathophysiological process does the nurse describe as the major problem in this disorder?
A. Autoimmune process creates antigen-antibody complexes that damage tissues B. Genetic defect linked strictly to male offspring leading to organ damage C. Limited autoimmune process destroys tissues in specific target organs D. Rapidly progressive disease triggered by hormonal changes such as pregnancy.
An elderly client's children had always assumed they would be able to care for her until she died
However, the client had diabetes develop, had a below-the-knee amputation that is healing poorly, and recently had a cerebrovascular accident that left her paralyzed on the right side. The family has been told the client can be cared for at home if sufficient help can be obtained, or she can be placed in a nursing home. The siblings cannot make up their minds. The nurse could be helpful by a. making the decision for the family. b. encouraging the client to make the decision. c. reporting the situation to the elder abuse hotline. d. helping the family clarify the advantages and disadvantages of each option.
A client with depression mentions to the nurse, "My mother says depression is a chemical disor-der. What does she mean?" The nurse's response is based on the theory that depression primarily involves the following neurotransmitters:
1. Serotonin and dopamine 2. Cortisol and GABA 3. COMT and glutamate 4. Monamine and glycine