The nurse charts, "Patient stated pain is at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°." What information would be considered objective findings?
a. Pain measurement
b. Presence of nausea
c. Sense of cold
d. Oral temperature
ANS: D
The objective concrete measurement of the temperature is the only objective data in the nurse's record.
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The nurse is administering pain medication for several patients. Which patient does the nurse administer medication to first?
a. The patient who needs to take a scheduled dose of maintenance pain medication b. The patient who needs to be premedicated before walking c. The patient with a PCA running who needs to have the syringe replaced d. The patient who is experiencing 8/10 pain and has a STAT order for pain medication
The nurse is teaching a middle school class about embryonic reproductive organ development. Which statement indicates that the student understands this process?
A. "Boys are born with all the sperm they will ever have." B. "Girls are born with all the ova they will ever have." C. "Girls develop additional ova as they mature." D. "Some boys develop more sperm as they mature."
The Joint Commission is one agency that accredits health care institutions. The nurse understands that the Joint Commission has mandated the use of which national safety practice to protect clients admitted to a health care facility?
A) Nurses use the Rights checklist prior to administering medications. B) Upon admission all clients sign advanced directives. C) The use of a wristband for identification of the patient. D) The use of standard precautions in the operating room.
A nurse is evaluating the effectiveness of teaching after instructing a group of clients on joint replacement. Which learning domain is the most difficult to measure?
A) Normative B) Affective C) Cognitive D) Psychomotor