The nurse is assessing a patient. Which data are considered data from a primary source?
a. The patient's spouse tells the nurse the patient seems upset.
b. The patient reports right lower quadrant pain.
c. The physician describes the patient as being overanxious.
d. The lab report shows an elevated white cell count.
B
Data are collected from a variety of sources, however the patient should be considered the primary source of data, or the major provider of information about themselves.
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The parents of a child with a thoracic-level spinal injury are anxious to know what the long-term prognosis is for their son. They ask, "Will our son walk again?" What is your best response?
A) "It is most unlikely that your son will ever walk again." B) "Damage usually progresses after the first week." C) "It will be several weeks before an answer to your question is possible." D) "What has the physician said about your son's recovery?"
A nurse is caring for an older adult who has experienced damage to the frontal lobe after an automobile accident. The nurse anticipates that the client will have difficulty with which of the following?
A) Smell B) Concept formation C) Receptive speech D) Hearing
The organizational analysis documentation describes the organization as one with centralized leadership with a clearly defined organization chart hierarchy. The organization is divided into departments and follows detailed rules and regulation
This organization follows which theories? Select all that apply. 1. Classical 2. Systems 3. Integrated delivery system 4. Vertical integration theory 5. Bureaucratic
The nursery nurse notes the presence of diffuse edema on a baby girl's head. Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth
By the second day of life, the edema has disappeared. The nurse documents the following condition in the infant's chart. A) Caput succedaneum B) Cephalhematoma C) Subperiosteal hemorrhage D) Epstein pearls