The client with peripheral vascular disease is in the physician's office for a checkup and reevaluation. The nurse should assess subjective data by:
1. Noting skin lesions.
2. Inquiring about dietary habits.
3. Determining level of edema.
4. Checking pedal pulses.
Answer: 2
1. Noting skin lesions is objective data.
2. Dietary habits are considered subjective data.
3. Edema is objective data.
4. Checking pulses is gathering objective data.
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The nurse, caring for a client recovering from abdominal surgery, realizes that the risk for postoperative hemorrhage is the greatest:
a. during the first 24 to 48 hours after surgery. b. 48 to 72 hours after surgery. c. 3 days to 1 week after surgery. d. 2 to 3 weeks after surgery.
A client pregnant with her first child is concerned that she has not felt the baby move yet. She is 16 weeks pregnant. The nurse should
a. reassure her that this is normal b. notify the client's health care provider c. place her on a fetal monitor d. listen for fetal heart tones
The nurse is interviewing the mother of a school-aged child. The mother states that their family consists of herself, her son, a female friend, and two foster children. One grandparent lives in another city, and one lives within two blocks of them
As the nurse works with this family, what implication is important to include? a. As a single parent, the mother has multiple roles to fill and will become stressed. b. As an extended family, all the children will receive attention from several adults. c. This child will lack male attention because he lives in a single-parent family. d. The quality of family life will be influenced because they are not a traditional family.
The most serious concern in administering IV medications is that
a. a phlebitis could develop. c. the IV site might become infected. b. the IV might infiltrate. d. the IV solution infuses directly into the blood vessel.