A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Alert

Restless

Anxiety

Pacing

Answer and Explanation

The Correct Answer is C

Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.

A. Alert refers to the client's level of consciousness and awareness of their surroundings.

B. Restlessness refers to a feeling of agitation or inability to stay still.

D. Pacing is an observable behavior where the client is walking back and forth in the room.

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Correct Answer is D

Explanation

Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.

A. "You should decrease the proteins in your diet." B. "You should decrease the dairy products in your diet." C. "You should increase the calories in your diet." D. "You should increase the fiber in your diet."

Correct Answer is B

Explanation

Dairy products contain lactose, and individuals with lactose intolerance often experience gastrointestinal symptoms such as bloating, gas, and diarrhea after consuming dairy. Advising the client to decrease dairy products in their diet can help alleviate these symptoms and manage lactose intolerance effectively.

A, C, D do not directly relate to lactose intolerance.

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A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Correct Answer is D

Explanation

A nurse is teaching a client who is lactose intolerant. Which of the following statements regarding lactose intolerance should the nurse include in the teaching plan?

Correct Answer is B

Explanation

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