A nurse is completing a client history and physical examination. Which of the following information should the nurse consider subjective data?
Petechiae
Blood pressure
Nausea
Cyanosis
The Correct Answer is C
A: Petechiae are small red or purple spots on the body, caused by minor bleeding from broken capillary blood vessels. This is an objective finding that can be observed and measured by the nurse.
B: Blood pressure is an objective measurement that can be quantified using a sphygmomanometer. It provides numerical data about the patient’s cardiovascular status.
C: Nausea is a subjective symptom reported by the patient. It reflects the patient’s personal experience and cannot be directly observed or measured by the nurse. Subjective data are crucial for understanding the patient’s perspective and symptoms.
D: Cyanosis is a bluish discoloration of the skin and mucous membranes due to low oxygen levels in the blood. This is an objective finding that can be observed by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["9"]
Explanation
Step 1: Convert the dosage from mg to mcg. 0.75 mg × 1000 = 750 mcg Result: 750 mcg
Step 2: Determine the number of tablets needed. 750 mcg ÷ 88 mcg/tablet = 8.5227 tablets Result: 8.5227 tablets
Step 3: Round the result to the nearest whole number. 8.5227 tablets rounded to the nearest whole number = 9 tablets Result: 9 tablets
The nurse should administer 9 tablets per dose.
Correct Answer is D
Explanation
A: Assessing the characteristics of the sputum is important for understanding the nature of the infection and the effectiveness of the treatment, but it is not the first action to take before the procedure.
B: Assessing pulse and respirations is the first action the nurse should take. This provides baseline data on the client’s respiratory and cardiovascular status, which is crucial for monitoring the client’s response to the procedure and ensuring safety.
C: Instructing the client to slowly exhale with pursed lips is a technique used to improve breathing efficiency and oxygenation, but it is not the first action to take before the procedure.
D: Auscultating lung fields is important for assessing the client’s respiratory status and identifying areas of congestion or decreased breath sounds, but it should follow the initial assessment of pulse and respirations.
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