Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
B) Objective
This is a measurement obtained by the examiner, so it is considered objective data. The
patient is unlikely to be able to give this information to the examiner.
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A teen comes to the school nurse to get help with anxiety about singing in front of the school. The teen states, "I just know everyone is going to laugh
What if I sing off-key?" What does the nurse recognize as the teen's source of anxiety? 1. Unmet expectations important to self-integrity 2. Inability to gain or reinforce self-respect from others 3. Discrepancies between self-view and actual behavior 4. Anticipated disapproval by significant others
A client's spouse reports the presence of a reddened area on the client's coccyx and wants to massage the area. Which response by the nurse is appropriate?
A) "I will need to obtain an order from the healthcare provider to perform a massage." B) "Massaging the area twice daily will help restore circulation and should be incorporated into the plan of care." C) "I will record these findings in the medical record." D) "Massaging the area may actually cause more harm to a potentially compromised area of skin."
The therapeutic goals when prescribing include(s):
1. Curative 2. Palliative 3. Preventive 4. All of the above
How often should a fecal incontinence pouch be removed to check for signs of skin breakdown?
A) Every shift B) Every 24 hours C) Every 36 hours D) Every 72 hours