A 58-year-old patient is going home today. The nurse does her final assessment of the patient. Which of the following would be considered a normal finding?

Bowel sounds 5-30 per minute.

Capillary refill of greater than 3 seconds.

Respiratory rate of 25

Heart rate of 10

Answer and Explanation

The Correct Answer is C

The normal range for respiratory rate in adults is typically between 12 to 20 breaths per minute, butsome individuals may have a slightly higher or lower respiratory rate within the normal range.

Options a and b are incorrect. Bowel sounds of 5-30 per minute are within the normal range, but this finding alone does not indicate that the patient is ready to go home. Capillary refill of greater than 3 seconds is considered abnormal and may indicate poor peripheral perfusion.

Option d is also incorrect. A heart rate of 10 is extremely low and would be considered bradycardia. This could indicate an underlying medical issue and would require further assessment and intervention before the patient is discharged.

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Correct Answer is C

Explanation

Objective data are measurable and observable findings that can be obtained through physical examination, laboratory tests, or other diagnostic procedures.

Option A is subjective data because it is information reported by the patient and may not be entirely accurate. Option Bis also subjective data because it is the patient's perception of their weight loss, which may not be an accurate reﬂection of actual weight loss.

Option Dis also subjective data because it relies on the patient's self-report of their alcohol intake, which may not be entirely accurate.

A. Dreaming does not occur during this type of sleep. B. Composes the largest amount of total sleep. C. It is part of the sleep cycle. D. Considered to be the time of restorative sleep.

Correct Answer is C

Explanation

REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a diﬀerent role in physiological and cognitive functioning.

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A 58-year-old patient is going home today. The nurse does her final assessment of the patient. Which of the following would be considered a normal finding?

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Naxlex Comprehensive Predictor Exams

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