Which information gathered during assessment is considered to be subjective data?
A. The client's urine is dark and foul-smelling.
B. The client's total 24-hour urine output is 1800 mL.
C. The client indicates that pain and burning are present when urinating.
D. The client has been treated for urinary tract infections in the past.
C
Subjective data are not directly observable or measurable by people other than the person to whom the data relate.
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A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable. After assessing the client's behavior, which statement by the nurse would be the most appropriate?
a. "The urine incontinence should not prevent you from socializing." b. "You seem depressed and should seek more pleasant things to do." c. "It is common for men at your age to have changes in mood." d. "Nocturia could cause interruption of your sleep and cause changes in mood."
A patient recovering from a partial spinal cord lesion is experiencing muscle spasticity. Relative to this complication, what is the nursing priority?
A) Monitor neurologic status every 4 hours B) Ensure compliance with exercise program C) Medicate often for pain and discomfort D) Emphasize nutritional balance
A patient should receive 15 g of a medication. You have one tablet containing 3.5 g and another
containing 6.25 g. How much more medication do you need to administer the correct dose? A. 9.75 g B. 9 g C. 5 g D. 5.25 g
The nurse is going to assist with the assessment of a patient's oculovestibular reflex. What should be done before this reflex is assessed?
1. Ensure that the patient's spinal cord has been found intact. 2. Ensure that the patient has an intact gag reflex. 3. Determine that the patient can tolerate being in the supine position. 4. Determine that the patient has an intact tympanic membrane.