The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of
An observation
A judgment
Subjective data
Objective data
The Correct Answer is B
Choice A rationale: An observation is a factual statement of what the nurse sees, hears, feels, or smells.
Choice B rationale: This is because the nurse is interpreting the client's behavior and not describing it objectively.
Choice C rationale: subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
Choice D rationale: Objective data is information that the nurse obtains through physical examination, tests, or measurements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: lithium does not affect the levels of red blood cells hence no monitoring is required during its intake.
Choice B rationale: lithium is excreted in the kidneys hence close kidney function monitoring is essential since it prevents lithium toxicity.
Choice C rationale: lithium does not affect the levels of hemoglobin and hematocrit levels hence no frequent monitoring is required during its intake.
Choice D rationale: lithium does not affect the levels of white blood cells hence no monitoring is required during its intake.
Correct Answer is D
Explanation
Choice A rationale: Benzodiazepines typically have a relatively rapid onset of action, usually within a few minutes to hours after taking the drug hence making them effective for the management of anxiety and panic attacks.
Choice B rationale: While benzodiazepines may have side effects, serious side effects are not a major disadvantage when compared to the risk of dependency.
Choice C rationale: Benzodiazepines are a well-researched class of medications and are not considered "new to the market since they have been in use since the 1960s.
Choice D rationale: Benzodiazepines have the potential for dependency and tolerance with long-term use. They are generally recommended for short-term use due to the risk of developing a physical and psychological dependence hence the drug should only be used under the guidance of a qualified healthcare professional.
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