The nurse is collecting data for a comprehensive assessment. Data that can be seen, heard, or felt by someone other than the person experiencing them are called:
1. primary.
2. objective.
3. subjective.
4. secondary.
2
Objective data (signs) can be seen, heard, and/or felt by someone else. Subjective data (symptoms) rely on the feelings or opinions of the person experiencing them. Primary and secondary refer to the sources of data.
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A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
a. Isolation b. Suicidal ideation c. Fear d. Anger
The nurse overhears the physician stating that the client who is in hypovolemic shock requires plasma expansion. The nurse anticipates that the physician will write a prescription to transfuse which of the following blood products to this client?
1. Albumin 2. Platelets 3. Cryoprecipitate 4. Packed red blood cells
When reassessing a patient's wound, a nurse notes redness and swelling, but no drainage. This is indicative of a phase of healing called the
1. Reconstruction phase. 2. Remodeling phase. 3. Inflammatory phase. 4. Maturation phase.
When the nurse formulates three nursing diagnoses for an adult client hospitalized for abdominal surgery, the nurse has focused on the client's
A) Medical record. B) Actual health problems C) Medical diagnosis D) Past medical history