Which of the following data is considered as a SUBJECTIVE data?

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Question 1 of 9

Which of the following data is considered as a SUBJECTIVE data?

Correct Answer: C

Rationale: Subjective data is patient-reported e.g., anxiety as a felt emotion. Dizziness and chest pain can be measured (vitals), blue nails observed (objective). Nurses probe subjective feelings e.g., 'how anxious?' for comprehensive care, per assessment distinctions.

Question 2 of 9

A client with schizophrenia is receiving chlorpromazine (Thorazine) 400 mg twice a day. An adverse side effect of the medication is:

Correct Answer: B

Rationale: Chlorpromazine, an antipsychotic, can cause elevated temperature as an adverse effect, linked to neuroleptic malignant syndrome or anticholinergic effects disrupting thermoregulation a serious risk requiring monitoring. Photosensitivity, weight gain, or hypertension are possible but less acute. Nurses watch for fever to intervene swiftly, ensuring client safety during schizophrenia treatment.

Question 3 of 9

Initially after a stroke, a client's pupils are equal and reactive to light. Later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is beginning to rise. What complication should the nurse consider that the client is developing?

Correct Answer: D

Rationale: Slow pupil reaction and rising systolic BP post-stroke suggest increasing ICP (D), part of Cushing's triad. Spinal (A) or hypovolemic shock (B) don't fit. Herniation (C) is a result, not the process. D is correct. Rationale: ICP rise from stroke edema causes neurological and hemodynamic changes, requiring urgent management, per stroke care protocols.

Question 4 of 9

Nurse researchers use both quantitative and qualitative research in their practices. Which actions are examples of the use of qualitative research?

Correct Answer: A

Rationale: Qualitative research in nursing explores narratives and experiences, not numbers, offering depth into human perspectives. Examining issues with Native American/First Nation clients uses ethnography, studying cultural health contexts. Investigating past trends is historical research, tracing nursing's evolution through stories. Discovering how illness affects lives is phenomenological, capturing lived experiences like cancer's emotional toll. Examining intervention effects or cause-and-effect in labs is quantitative, focusing on measurable outcomes, not narratives. Qualitative methods generate rich, contextual knowledge like understanding tribal healing views enhancing culturally sensitive care. This contrasts with quantitative's statistical focus, giving nurses tools to address subjective client needs, vital for holistic practice and advancing nursing's interpretive science.

Question 5 of 9

Nursing interventions that can help the patient to relax and sleep restfully include all of the following except:

Correct Answer: A

Rationale: Afternoon naps can disrupt nighttime sleep, unlike other relaxing interventions.

Question 6 of 9

The nurse is planning care for several clients in an outpatient clinic. Which client requires follow-up care due to a chronic condition?

Correct Answer: C

Rationale: Chronic conditions need ongoing care, and the COPD client with wheezing and coughing signals this. COPD, irreversible lung damage, shows chronic symptoms shortness of breath, cough requiring follow-up like inhaler adjustments or oxygen therapy to manage exacerbations. The sprained ankle and burn are acute, healing with time, not chronic. Diabetes is chronic, but the toe wound is an acute complication needing immediate care, not long-term follow-up here. COPD's persistent nature unlike acute injuries demands sustained nursing, monitoring lung function or educating on triggers, aligning with chronic care's focus on stability and preventing decline, critical in outpatient settings where continuity matters.

Question 7 of 9

Which of the following statement is TRUE about religion?

Correct Answer: C

Rationale: Religion is an organized system of beliefs (C), per definition structured faith (e.g., Christianity). Personal search (A) is spirituality, not same (B), not all (D). C truly distinguishes religion's communal, ritualistic nature, making it correct.

Question 8 of 9

When instructing the family of a client who has diabetes with neuropathy causing impaired skin sensitivity, you would stress the importance of which one of the following things in regard to showering or bathing?

Correct Answer: D

Rationale: For a diabetic client with neuropathy, ensuring water isn't hot is crucial due to reduced sensation, preventing burns. Neuropathy dulls temperature perception, so a method like testing with an elbow safeguards skin integrity. Cleaning with peroxide is unrelated, and drying or lotion help but don't address the primary risk. This instruction empowers the family to prevent injury, a key nursing focus in managing sensory deficits.

Question 9 of 9

Treatment of hypothermia by active core warming is done by all except:

Correct Answer: C

Rationale: Active core warming treats severe hypothermia by directly heating internal systems: airway rewarming (warm humidified air), extracorporeal rewarming (blood warming). Passive external rewarming (blankets) relies on body heat, not active core methods. Nurses use active techniques in critical cases, rapidly raising core temperature to prevent organ failure, contrasting with passive's slower effect.

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