1.ID: 8482581693A nurse performing a physical assessment of a client gathers
both subjective and objective data. Which finding would the nurse document as subjective data?
The client appears anxious.
Blood pressure is 170/80 mm Hg.
The client st
1.ID: 8482553041A client with leukemia is being considered for a bone marrow
transplant. The healthcare team is discussing the risks and benefits of this treatment and other
possible treatments with the goal of inflicting the least possible harm
1.ID: 8482493994A nurse is assigned to care for four clients on the medicalsurgical unit. Which client should the nurse see first on the shift assessment?
A client admitted with pneumonia with a fever of 100 F and some diaphoresis
A client with
1.ID: 8482541809Which event would require a nurse to complete and file an
A client has a seizure.
The nurse determines that a client would benefit from the use of a walker to ambulate.
The nurse, preparing an intravenous infusio
1.ID: 8482548610A nurse is providing information to a group of pregnant clients
and their partners about the psychosocial development of an infant. Using Erikson's theory of
psychosocial development, what should the nurse tell the group about th
1.ID: 8482572285A client who has undergone abdominal surgery calls the nurse
and reports that she just felt something give way in the abdominal incision. The nurse checks
the incision and notes the presence of wound dehiscence. The nurse immedia
1.ID: 8482507114A schizophrenic client says, Im away for the day . but dont
think we should play or do we have feet of clay? Which alteration in the clients speech does the
Clang association Correct
1.ID: 8482587678The mother of a 3-year-old child tells the nurse that her child
hit her doll after the mother scolded her for picking the neighbors flowers. Which defense
mechanism used by the child does the nurse identify in the mothers report?
1.ID: 8482576270A nurse notes that the site of a clients peripheral intravenous
(IV) catheter is reddened, warm, painful, and slightly edematous near the insertion point of the
catheter. On the basis of this assessment, the nurse first: