While assessing your patient he informs you that his arm is itchy and he had developed a rash. This is:
A. Objective data
B. Subjective data
C. Formulating diagnostic hypothesis
D. Onset
Answer: B. Subjective data
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The nurse is caring for a patient from a very different cultural group. In delivering care, how can the nurse best demonstrate cultural sensitivity?
A) Ask the family about their cultural beliefs and customs that may apply. B) Assume that the patient and family will adjust to the hospital culture. C) Inform the patient and family that the routines of the hospital take precedence. D) Do a literature search on the patient's culture to determine beliefs.
A nurse notes variable decelerations on the fetal heart monitor and is explaining them to the laboring woman and her partner. What information about these patterns does the nurse share? (Select all that apply.)
A. Last at least 15 seconds B. Least common type of deceleration pattern C. May be a result of cord compression D. Occur at any time during a contraction E. Return to baseline within 4 minutes
A patient with vascular dementia does not remember family members' names. The family insistently reorients the patient, and the patient becomes more agitated. What is the most likely reason for the patient's reaction? The patient is
a. using agitation to distract the family from the cognitive deficits. b. overstimulated by the reorientation and reacting negatively. c. reliving family chaos that was previously unresolved. d. experiencing guilt about the memory deficits.
A nurse is caring for a client who has developed a nosocomial infection. Which is the
most common nosocomial infection that the nurse should be aware of? A) Nasal infections B) Surgical-site infections C) Fungal infections D) Sexually transmitted infections