A nurse is performing an admission assessment on a patient. When collecting objective and subjective data, the nurse identifies as subjective data that
1. The patient is short of breath.
2. The patient has wound drainage.
3. The patient has low blood pressure.
4. The patient reports feelings of fatigue.
ANS: 4
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A patient waiting for a kidney transplant asks the nurse what signs and symptoms most likely indicate rejection. What would be the nurse's best response?
A) "Oliguria is a sign of rejection." B) "Shortness of breath is a sign of rejection." C) "Decreasing blood pressure is a sign of rejection" D) "Weight loss is a sign of rejection."
Which of the following would be considered a sentinel health event by the public health nurse?
A) Several nonsmokers in a community who develop lung cancer B) An individual nonsmoker who develops cancer C) Genetically related nonsmoking family members who develop lung cancer D) A cluster of smokers in a community who develop lung cancer
When assessing for addiction, the nurse should be aware that a primary symptom of addiction is:
a. Anger b. Apathy c. Denial d. Violence
A nurse assesses a client's peripheral IV site, and notices edema and tenderness above the site. Which action should the nurse take next?
a. Apply cold compresses to the IV site. b. Elevate the extremity on a pillow. c. Flush the catheter with normal saline. d. Stop the infusion of intravenous fluids.