A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?
Alert
Restless
Anxiety
Pacing
The Correct Answer is C
Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.
A. Alert refers to the client's level of consciousness and awareness of their surroundings.
B. Restlessness refers to a feeling of agitation or inability to stay still.
D. Pacing is an observable behavior where the client is walking back and forth in the room.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Albumin is a protein produced by the liver and is the most abundant protein in the blood. It plays a crucial role in maintaining colloidal osmotic pressure, transporting various substances in the blood, and regulating fluid balance. Low levels of albumin may indicate inadequate protein intake or synthesis, as albumin levels are affected by protein status and liver function.
B, C and D are not indicative of protein synthesis.
Correct Answer is B
Explanation
Sitting with the client during meals and snacks provides support, encouragement, and supervision to ensure that the client is consuming an adequate amount of food. It also offers an opportunity for the nurse to monitor the client's eating habits, aid if needed.
A. Enrolling the client in a nutritional class may not be the most appropriate action in this situation.
C. While monitoring the client's weight is important for assessing nutritional status and detecting changes over time, weighing the client at the same time every morning may not directly address the underlying issues contributing to malnutrition.
D. While spiritual and emotional support can be beneficial for clients with major depressive disorder, arranging a consultation with the facility chaplain may not directly address the client's nutritional needs or contribute to improving their nutritional status.
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