The nurse is completing an assessment of a patient with cardiac and respiratory problems. Which data would the nurse categorize as subjective?
A) Blood pressure 168/94 mm Hg
B) Respiratory rate 28 and shallow
C) Heart rate 94 and irregular
D) Palpitations every morning
D
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An older adult is brought to the emergency department by a family member, who reports a moderate change in mental status and mild cough. The client is afebrile. The health care provider orders a chest x-ray
The family member questions why this is needed since the manifestations seem so vague. What response by the nurse is best? a. "Chest x-rays are always ordered when we suspect pneumonia." b. "Older people often have vague symptoms, so an x-ray is essential." c. "The x-ray can be done and read before laboratory work is reported." d. "We are testing for any possible source of infection in the client."
A middle-aged homeless male experiencing severe abdominal pain comes into the emergency department of the community hospital. What should the nurse do for this individual?
1. Provide care 2. Ask for proof of health insurance 3. Ask for the name of last employer 4. Send to the nearest Medicaid office
The client receiving biological response modifiers to stimulate the body's natural immune response. The nurse is aware that a serious complication related to this treatment is:
a. anaphylaxis c. metastasis b. extravasation d. vesicle formation
The nurse overhears a client tell her spouse that she realizes that she did not finish what she needed to do at home and she is sorry to put so much on him to do
In addition to this client's reason for hospitalization, the nurse realizes this client is at risk for developing: 1. Heart disease. 2. Depression. 3. Musculoskeletal disorder. 4. Diabetes.