The nurse performed an assessment on a client. Which finding is considered subjective data?
The client verbalizes fear of injecting insulin.
The client is crying when talking to the nurse.
The client has a healing wound on their foot.
The client's blood glucose level is 98 mg/dL.
The Correct Answer is A
A. The client verbalizes fear of injecting insulin: Subjective data are based on the client’s personal feelings, perceptions, or reported experiences. A statement of fear reflects the client’s internal experience and cannot be measured or observed by the nurse.
B. The client is crying when talking to the nurse: Crying is an observable behavior and constitutes objective data because it can be seen and measured by the nurse.
C. The client has a healing wound on their foot: The presence and appearance of a wound are observable and measurable, making this objective data rather than subjective.
D. The client’s blood glucose level is 98 mg/dL: Laboratory values are objective data because they provide quantifiable measurements obtained through testing and do not rely on the client’s report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Thromboembolism: Estradiol, as an estrogen therapy, increases the risk of thromboembolic events by promoting hepatic synthesis of clotting factors and altering the balance of procoagulant and anticoagulant proteins. This can lead to deep vein thrombosis, pulmonary embolism, or stroke, particularly in clients with additional risk factors.
B. Hyperglycemia: Estradiol does not typically cause elevated blood glucose. Its primary metabolic effects involve reproductive and cardiovascular systems, not glucose regulation, so hyperglycemia is not a common adverse effect.
C. Blurry vision: While ocular changes may occur with hormonal fluctuations, blurry vision is not a common or significant adverse effect of estradiol therapy. Severe visual changes would warrant evaluation for other causes.
D. Increased urination: Estradiol does not usually affect urine output. Increased urination is not pharmacologically linked to estrogen therapy and would require assessment for alternative etiologies such as diabetes or diuretic use.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Narrow therapeutic index: Drugs with a narrow therapeutic index have a small range between therapeutic and toxic doses. Small variations in dose or blood levels can result in subtherapeutic effects or toxicity, requiring careful monitoring of serum drug levels, kidney and liver function, and patient response.
• Risk for toxicity: Because the margin between effective and harmful doses is small, clients taking drugs with a narrow therapeutic index are at higher risk for adverse effects and toxicity. Close monitoring helps detect early signs of toxicity and prevents serious complications.
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