After assessment of a client in an ambulatory clinic, the nurse records the data on the computer. The nurse recognizes which of the following as objective data?
A) Auscultation of the lungs
B) Complaint of nausea
C) Sensation of burning in her epigastric area
D) Belief that demons are in her stomach
Ans: A
Objective data include techniques of inspection, palpation, percussion, and auscultation. Symptoms, values, perceptions, feelings, beliefs, attitudes, and sensations are sources of subjective data.
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The nurse is sharing client assessment data with the multidisciplinary health care team. Which comment by the nurse is irrelevant and indicates a misunderstanding of the concept of a mental disorder?
1. "The client reports significant emotional distress about the current situation." 2. "The client reports a loss of interest in usual pleasurable activities and commitments." 3. "The client denies thoughts of harming self or others." 4. "The client has some very inappropriate religious ideas and spiritual beliefs."
A(n) __________ is the organized arrangement of content in a specific time frame
Fill in the blank(s) with correct word
Which violation of surgical asepsis would require immediate intervention by the circulating nurse?
1. Surgical supplies were cleaned and sterilized prior to the case 2. The circulating nurse is wearing a long-sleeved sterile gown 3. Masks covering the mouth and nose are being worn by the surgical team 4. The scrub nurse setting up the sterile field is wearing artificial nails
MC Select the statement that best describes changes in motility
A. Hypomotility is caused by direct stimulation or irritation of the autonomic nervous system. B. Parasympathetic nervous system stimulation results in constipation. C. Hypermotility can result from infectious agents. D. Antihypertensive drugs cause constipation because of parasympathetic stimulation.