During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed and says "leave me alone." Which subjective data should the nurse document?
Not talkative
Pale and diaphoretic
"Leave me alone"
Restlessness
Encourage or provide oral hygiene after mealtime.
The Correct Answer is C
Subjective data refers to information that is reported by the client and cannot be directly observed or measured by the healthcare provider. In this case, the statement "leave me alone" is an example of subjective data that the nurse should document. This information provides insight into the client's feelings and emotions and can help guide the nurse's care and interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When communicating with a client who has difficulty hearing a conversation, it is important for the nurse to face the client during the conversation. This allows the client to see the nurse's mouth and facial expressions, which can help them better understand what is being said. Additionally, facing the client can help reduce background noise and improve the clarity of the nurse's speech.
Correct Answer is A
Explanation
All of the options listed (Willing to learn from clients, Motivated to provide to the best of her abilities, Aware of how beliefs and values influence others, Accepting responsibility for one's actions, and advocating for all clients) are attributes of a professional nurse. A professional nurse should be willing to learn from their clients and be motivated to provide the best care possible. They should also be aware of how their beliefs and values can influence others and accept responsibility for their actions. Additionally, a professional nurse should advocate for all clients.
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