The nurse is collecting data on a patient with varicose veins. What should the nurse document as a subjective finding of varicosities?
a. Ankle edema
b. Purple lesions
c. Aching of legs
d. Palpable nodules
ANS: C
A subjective finding is one in which the patient reports. The patient would report a feeling of aching, which is not observable (objective) by the nurse as the others are. A. B. D. Ankle edema, purple lesions, and palpable nodules can all be assessed objectively by the nurse.
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The nurse has initiated a blood transfusion. Which action is now priority?
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A premature newborn is unable to suck at the breast. The nurse arranges for the mother to use an electric pump at least:
A. Two times in a 24-hour period. B. Four times in a 24-hour period. C. Six times in a 24-hour period. D. Eight times in a 24-hour period.
Which of the following is part of the treatment plan for the patient with irritable bowel syndrome?
a. High-fiber diet c. Daily laxatives b. Tylenol with codeine d. All of the above