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.
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Correct Answer is C
Explanation
Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.
A, Sensitive areas are preferably examined last
B, Examination should be done in relatively warm environment to ensure comfort for the client
D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.
Correct Answer is C
Explanation
Amoxicillin-clavulanate is a combination antibiotic that contains amoxicillin, which belongs to the penicillin class of antibiotics. Because the child is allergic to penicillin, there is a potential cross-reactivity with amoxicillin, which could lead to an allergic reaction.
A, B, and D are not penicillin antibiotics and do not typically cross-react with penicillin allergies.
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