A nurse is completing a client’s history and physical examination. Which of the following information should the nurse consider subjective data?

Edema

Heart Rate

Chills

Pallor

Answer and Explanation

The Correct Answer is C

A. Edema:

Edema refers to the presence of swelling caused by an accumulation of fluid. While the nurse can observe and measure edema, the sensation of swelling itself is subjective and based on the client's perception.

B. Heart Rate:

Heart rate is an objective measure of the number of heartbeats per minute. It can be measured and observed by the healthcare provider, making it an objective data point.

C. Chills

Subjective data refers to information that is based on the client's personal experiences, perceptions, and feelings. Chills, which describe a feeling of coldness often associated with shivering, are a subjective symptom that the client experiences.

D. Pallor:

Pallor refers to an unusually pale or white skin color. While the nurse can observe and assess the color of the skin, the client's perception of pallor is subjective.

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Correct Answer is C

Explanation

A. Comatose:

Coma refers to a state of deep unconsciousness where the individual is unresponsive to stimuli, including pain or external stimulation. In the scenario described, the patient is not comatose because they can be awakened by gentle shaking and calling their name.

B. Awake and alert:

This term describes a state of full alertness and responsiveness to the environment. The patient in the scenario is not fully awake and alert since they appear drowsy most of the time and require external stimuli to be awakened.

C. Lethargic:

Lethargy is characterized by drowsiness, reduced alertness, and a sluggish response to stimuli. In the scenario, the patient is described as drowsy most of the time but can be awakened by gentle shaking and calling their name. This aligns with the characteristics of lethargy.

D. Stuporous:

Stupor is a state of reduced responsiveness where the individual can be aroused only by vigorous or painful stimuli. The patient in the scenario does not fit the criteria for stupor as they can be awakened by gentle shaking and calling their name.

Correct Answer is ["20"]

Explanation

To administer the ordered dose of furosemide (Lasix) 20mg, you need to calculate the amount of mL required from the available solution. The available solution has a concentration of 2 mg/2 mL, which means that for every 2 mL of solution, there are 2 mg of furosemide. To find the amount of mL needed to deliver 20 mg of furosemide, you can use the following formula:

mL = (ordered dose / available dose) x available volume

Plugging in the values, we get:

mL = (20 mg / 2 mg) x 2 mL

mL = 10 x 2 mL

mL = 20 mL

Therefore, you need to administer 20 mL of the available solution to give the patient 20 mg of furosemide.

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A nurse is completing a client’s history and physical examination. Which of the following information should the nurse consider subjective data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Ordered: furosemide (Lasix) 20mg Available: furosemide (Lasix) 2 mg/2 mL Administer: ____mL

Correct Answer is ["20"]

Explanation

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