A nurse is completing a client’s history and physical examination. Which of the following information should the nurse consider subjective data?

Edema

Heart Rate

Chills

Pallor

Answer and Explanation

The Correct Answer is C

A. Edema:

Edema refers to the presence of swelling caused by an accumulation of fluid. While the nurse can observe and measure edema, the sensation of swelling itself is subjective and based on the client's perception.

B. Heart Rate:

Heart rate is an objective measure of the number of heartbeats per minute. It can be measured and observed by the healthcare provider, making it an objective data point.

C. Chills

Subjective data refers to information that is based on the client's personal experiences, perceptions, and feelings. Chills, which describe a feeling of coldness often associated with shivering, are a subjective symptom that the client experiences.

D. Pallor:

Pallor refers to an unusually pale or white skin color. While the nurse can observe and assess the color of the skin, the client's perception of pallor is subjective.

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Correct Answer is D

Explanation

A. Wheezes:

Wheezes are high-pitched, musical sounds that occur during inspiration or expiration and are often associated with narrowed airways, such as in conditions like asthma or chronic obstructive pulmonary disease (COPD).

B. Stridor:

Stridor is a high-pitched, crowing sound that is typically heard during inspiration and can be associated with upper airway obstruction, such as in croup or epiglottitis.

C. Rhonchi:

Rhonchi are low-pitched, snoring or rattling sounds that can occur during inspiration or expiration. They are often associated with the presence of mucus or other airway obstruction and can be heard in conditions like bronchitis or pneumonia.

D. Crackles:

Crackles are bubbling, popping sounds heard during inspiration or expiration. They can be further classified as fine or coarse. Fine crackles are often associated with conditions like pulmonary fibrosis, while coarse crackles can be heard in conditions like congestive heart failure or pneumonia.

Correct Answer is ["0.7"]

Explanation

To calculate the amount of hydroxyzine (Vistaril) to administer, use the formula:

D (desired dose) / H (have dose) x Q (quantity) = X (amount to give)

In this case, D = 35 mg, H = 50 mg/mL, and Q = 1 mL. Plug in the values and solve for X:

35 mg / 50 mg/mL x 1 mL = 0.7 mL

Therefore, the amount of hydroxyzine (Vistaril) to administer is 0.7 mL.

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A nurse is completing a client’s history and physical examination. Which of the following information should the nurse consider subjective data?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Ordered: Hydroxyzine (Vistaril) 35 mg IM stat Available: Hydroxyzine (Vistaril) 50 mg/mL Administer: ____ ml

Correct Answer is ["0.7"]

Explanation

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