A nurse is performing a shift assessment on a patient. While collecting objective and subjective data, the nurse identifies as objective data that
1. The patient reports feelings of depression.
2. The patient demonstrates facial grimacing.
3. The patient complains of feeling nauseated.
4. The patient complains of visual disturbances.
ANS: 2
You might also like to view...
In males, the appearance of facial hair during puberty typically occurs
a. as the first sign of sexual development. b. 6 months after the appearance of pubic hair. c. 6 months after the appearance of axillary hair. d. within 1 year after testicular enlargement.
A nurse is preparing to give a presentation at a community screening program on prostate cancer. The nurse plans to include the following information:
A) Annual digital rectal exams, DRE, are recommended after age 65. B) African Americans are considered at highest risk for this cancer. C) Prostate cancer has a low incidence of metastasis to other organs. D) A diet high in dairy products is a risk factor.
In healthy adults over 20, how often should blood pressure, body mass index, waist circumference, and pulse be assessed, according to American Heart Association guidelines?
A) Every 6 months B) Every year C) Every 2 years D) Every 5 years
The nurse is caring for a child diagnosed with Legg–Calvé–Perthes disease. Which intervention would be most important for the nurse to include when working with this child and caregivers?
A) Provide information when the child or caregiver requests it B) Identify a contact person when the child is hospitalized C) Restrict activity during the treatment D) Help the caregivers to understand and the child to effectively use the corrective devices