The nurse is collecting data from a client. Which of the following would be considered as being subjective data?
a. The client reports having nausea.
b. The client's blood pressure is 120/82.
c. The client has a reddened area on the buttocks.
d. The client's blood sugar is 100 g/dL.
ANS: A
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If the nurse does not document the medication promptly after administration, what adverse event might occur during that shift?
What will be an ideal response?
Which statement about folic acid is false?
a. Folic acid absorption is dependent on the enzyme folacin. b. Folic acid is stored in the liver. c. Folic acid is essential for RNA and DNA synthesis within erythrocytes. d. Folic acid is absorbed in the upper small intestine.
The nurse is assessing a client's gait. Which finding would alert the nurse to the need for a referral for further evaluation
A) Weight evenly distributed B) Shuffling of feet C) Stands on heels and toes D) Arms swinging in opposition
A newly admitted patient has the diagnosis of catatonic schizophrenia. Which behavior observed in the patient supports that diagnosis?
a. Uses a rhyming form of speech b. Refuses to eat any unwrapped foods c. Laughs when watching a sad movie d. Maintains an immobilized state for hours