During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

vomiting

Auscultation of heart murmur

Client's complaint of nausea

Blood pressure reading

Answer and Explanation

The Correct Answer is C

A. Vomiting: Vomiting is objective data because it can be observed and measured by the nurse.
B. Auscultation of heart murmur: This is objective data obtained through physical examination techniques.
C. Client's complaint of nausea: Subjective data is information reported by the client about their experience, feelings, or symptoms, which cannot be directly observed by others.
D. Blood pressure reading: This is objective data obtained through measurement.

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Correct Answer is ["B","C","E"]

Explanation

A. Administering blood to a client. Administering blood typically requires an RN due to the need for close monitoring and potential complications.
B. Re-enforces teaching to a diabetic client. LPNs can reinforce teaching that was initially provided by an RN.
C. Administering medications to the RN's other clients. LPNs are qualified to administer medications.
D. Completing an initial assessment on a new admission. Initial assessments must be completed by an RN
E. Changing a sterile dressing on a client. LPNs can perform sterile dressing changes.

A. Secondary B. Disease process C. Tertiary D. Primary

Correct Answer is C

Explanation

A. Secondary: Secondary prevention involves early detection and prompt intervention to prevent progression of disease.
B. Disease process: This term does not describe a level of prevention.
C. Tertiary: Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects. Rehabilitation after a stroke is an example of tertiary prevention.
D. Primary: Primary prevention aims to prevent disease or injury before it ever occurs.

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During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of client care? Select three items

Correct Answer is ["B","C","E"]

Explanation

A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Correct Answer is C

Explanation

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

The medical surgical nurse works with the interdisciplinary team to provide care for a stroke patient. Which of the following team members will be required for referring a physical therapist?

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

A nurse is teaching a client to administer insulin. The nurse should identify the following actions as part of the assessment step of the teaching plan?

A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?

Which client would be best assigned to an RN and not an LPN?