The nurse is gathering data about the client through physical examination and observation. This is an example of:
a. comprehensive data c. objective data
b. thorough data d. subjective data
C
Objective data is gained through physical examination and observation of clients. Objective data is observable and measurable.
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Which of the following nursing interventions should a nurse perform when caring for a female client with mood disorder who is prescribed lithium?
A) Instruct to resume regular activities such as driving. B) Administer lithium before meals. C) Withhold if serum level is less than 1.5 mEq. D) Instruct to avoid breastfeeding.
A nurse who is taking care of a patient with burns is asked by a family member why the patient is losing so much weight. The patient is currently in the intermediate phase of recovery
What would be the nurse's most appropriate response to the family member? A) "He's on a calorie-restricted diet in order to divert energy to wound healing." B) "His body has consumed his fat deposits for fuel because his calorie intake is lower than normal." C) "He actually hasn't lost weight. Instead, there's been a change in the distribution of his body fat." D) "He lost many fluids while he was being treated in the emergency phase of burn care."
The nurse is conducting a nutrition class when one of the clients questions the accuracy of using BMI to determine obesity. The client is surprised to see his BMI is high but he does not feel he is overweight
What is a drawback of using body mass index to determine obesity? A) It is nonthreatening. B) It does not take body composition into account. C) It requires special equipment to measure. D) It does not take diet into account.
The nurse is assisting a client who is having a Thomas test performed. When the client's left knee is brought to his chest, the nurse recognizes that a hip flexion contracture is present when:
1. the client complains of pain in his lumbar spine. 2. the client complains of sharp pain radiating down his left leg. 3. the client's right leg externally rotates. 4. the client's right leg rises off the bed.