A nurse is conducting a patient’s history and physical examination. Which information should the nurse consider as subjective data?
Petechiae
Nausea
Cyanosis
Fever
The Correct Answer is B
Choice A rationale
Petechiae, or small red or purple spots on the skin caused by minor bleeding from broken capillary blood vessels, are an objective finding. They can be seen and evaluated by the nurse during a physical examination.
Choice B rationale
Nausea is a subjective symptom. It is something the patient experiences and reports, but it cannot be directly observed or measured by the nurse.
Choice C rationale
Cyanosis, or bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood, is an objective finding. It can be observed by the nurse during a physical examination.
Choice D rationale
Fever is an objective finding. It can be measured by the nurse using a thermometer.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
After a total laryngectomy, patients may have difficulty swallowing fluids due to changes in the anatomy of the throat.
Choice B rationale
It is not accurate to say that it is no longer possible for the patient to choke on or aspirate food after a total laryngectomy. While the risk of aspiration is reduced because the airway and digestive tract are separated, the patient can still experience choking on food if it is not properly swallowed.
Choice C rationale
Adding a thickener to liquids can help prevent aspiration, but this is typically more relevant for patients with dysphagia or other swallowing disorders, not specifically for patients post- laryngectomy.
Choice D rationale
Tucking the chin when swallowing, also known as the chin-tuck maneuver, can help prevent aspiration by narrowing the entrance to the airway. This can be a useful technique for patients after a laryngectomy.
Correct Answer is A
Explanation
Choice A rationale
Negligence refers to conduct that falls below the standard established by law for the protection of others against unreasonable risk of harm. A nurse leaving her shift early without notifying the charge nurse could be considered negligent if it results in harm to a patient.
Choice B rationale
Battery refers to the intentional and offensive or harmful touching of another person without their consent. This does not apply to the scenario provided.
Choice C rationale
Slander involves making false spoken statements that damage a person’s reputation. This does not apply to the scenario provided.
Choice D rationale
Libel involves making false written statements that damage a person’s reputation. This does not apply to the scenario provided.
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