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
A biopsy is not typically prescribed for plantar warts unless there is suspicion of a more serious condition, such as cancer.
Choice B rationale
Soaking feet in an antiseptic solution daily is not a standard treatment for plantar warts. Standard treatments include salicylic acid, cryotherapy (freezing), and other methods.
Choice C rationale
Plantar warts are not directly related to excessive foot perspiration. They are caused by the human papillomavirus (HPV) entering a cut or break in the skin.
Choice D rationale
Plantar warts may cause discomfort during walking due to their location on the soles of the feet.
Correct Answer is C
Explanation
Choice A rationale
While formula feeding is not contraindicated in infants with gastroesophageal reflux (GER), it is not necessary to switch from breast milk to formula. Both breast milk and formula can be used in infants with GER56.
Choice B rationale
Positioning the baby on their side during sleep is not recommended. This position does not help with GER and can increase the risk of sudden infant death syndrome.
Choice C rationale
Keeping the baby in an upright position after feedings can help reduce the symptoms of GER. Gravity helps keep the stomach contents down and prevents them from flowing back into the esophagus.
Choice D rationale
Thickening the baby’s formula with oatmeal is sometimes recommended for infants with GER. However, this should only be done under the guidance of a healthcare provider.
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