The nurse is gathering data on a client and records the skin as being dry. The nurse is gathering:
1. subjective data.
2. data from the health history.
3. objective information.
4. risk factors.
Answer: 3
1. Subjective data are information the client gives to the nurse such as intensity of pain.
2. A health history involves subjective data from the client.
3. Objective health data are information the nurse gathers during assessment.
4. Risk factors are a determination the nurse makes once the comprehensive assessment is completed.
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The nursing student is giving a bath to a client on the first clinical day. The physician arrives and removes a wound dressing, and tells the student to redress the wound. Which of the following actions should the student take?
1. Tell the doctor that wound dressings have not been covered in class yet. 2. Cover the wound with gauze. 3. Perform the dressing change. 4. Seek assistance from the instructor or nurse assigned to the client.
The nurse working in mental health nursing honors what historical nurse for working to improve care of the mentally ill?
1. Clara Barton 2. Florence Nightingale 3. Dorothea Dix 4. Lillian D. Wald
The patient's white blood cell (WBC) level is 4000 cells/microliter. The differential shows a neutrophil count of 65% and a band level of 5%. The absolute neutrophil count is
a. 4000 cells/microliter. b. 3000 cells/microliter. c. 2800 cells/microliter. d. 2600 cells/microliter.
A 42-year-old mother was diagnosed with placenta previa, and her baby was delivered by cesarean section at 32 weeks. At birth, the infant has a low pulse rate, low blood pressure, and a capillary filling time of 3.6 seconds
Which of the following interventions are needed? 1. Monitor the infant's cardiac and respiratory status. 2. Have isotonic saline ready for transfusion. 3. Draw several vials of blood for laboratory testing. 4. Start the infant on iron supplements. 5. Have O-negative packed red cells ready for a transfusion. 6. Start the infant on phototherapy.