The nurse is assessing a new patient who complains of his chest feeling tight. The patient displays a temperature of 100° F and an oxygen saturation of 89%, and expectorates frothy mucus. Which finding is an example of subjective data?
a. Temperature
b. Oxygen saturation
c. Frothy mucus
d. Chest tightness
D
Subjective data is information given by the patient that cannot be measured otherwise. The other data are considered objective data. Objective data are pieces of information that can be measured by the examiner. The nurse should avoid making judgments or conclusions when obtaining data.
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The home health nurse instructs the family whose child came home from school with lice that the bed linens should be:
a. thrown out in a sealed garbage bag. b. washed with strong bleach solution. c. washed and dried on the hottest setting. d. washed and dried at least through three cycles.
A newly diagnosed nsulin-dependent type 1 idiabetic with good blood sugar control is at 20 weeks' gestation. She asks the nurse how her diabetes will affect her baby. The best explanation would include:
1. "Your baby could be smaller than average at birth." 2. "Your baby will probably be larger than average at birth." 3. "As long as you control your blood sugar, your baby will not be affected at all." 4. "Your baby might have high blood sugar for several days."
For absorption of heavy exudate from a wound, a nurse selects which of the following dressings?
a. Alginates b. Hydrogel c. Hydrocolloid d. Transparent film
A client who receives primary health care services would expect that
a. The care would be provided by a physician. b. Private insurance would be necessary to receive care. c. The emphasis of care provided would be on prevention. d. A referral would be made to a specialist after receiving services.