When assessing a patient with a myocardial infarction (MI), which is objective data? (Select all that apply.)
a. Pain radiating to left arm and jaw
b. Hypertension
c. Vomiting
d. Diaphoresis
e. Nausea
f. Cardiac rhythm changes
B, C, D, F
Hypertension, vomiting, diaphoresis, and cardiac rhythm changes are objective data seen in patients with a myocardial infarction (MI). Pain and nausea are subjective data felt by the patient but not measurable.
You might also like to view...
How does sleep differ from rest?
a. Rest is a state of mental and physical relaxation in which no activities occur. b. Sleep is a state of altered consciousness. c. Rest involves being in a quiet environment. d. Individuals require at least 8 hours of sleep for it to be restorative.
Which option provides information that allows an individual to identify the patient's affective state?
a. Mr. B states that he is in considerable pain, about 8 on a scale of 1 to 10. He characterizes the pain as stabbing. b. Mrs. T's facial expression looks sad. Tears well up in her eyes, and the corners of her mouth droop. c. Miss L lies still with her eyes shut, her arms held rigidly at her side, and her fists clenched. d. Mr. A listens carefully to the directions for blood glucose monitoring and then asks several relevant questions.
The nurse knows that the client receiving enteral feedings is at risk for diarrhea. One of the measures that the nurse can take to minimize the risk for diarrhea in this client is:
1. Making sure to chill the canned feeding before administering 2. Using strict sanitation when administering the formula 3. Not deviating from the prescribed rate of delivery for the formula 4. Not diluting or changing the strength of the prescribed formula
The model/theory that integrates the effects of biology and environment, or nature and nurture, on the development of mental illness is the
1. Community mental health model 2. Holistic model 3. Systems theory 4. Diathesis-stress model