You completed the health history and physical examination on your new admission. After completing the assessment phase of the nursing process, the next step includes which of the following?

Correct Answer: A

Rationale: The correct answer is A: Interpreting clinical findings and determining a diagnosis. This step follows the assessment phase of the nursing process. First, you collect data during the assessment phase. Next, you interpret the data to make a diagnosis. This involves analyzing the clinical findings and determining the patient's health status. Choice B is incorrect because clustering cues and evaluating assessment data are part of the assessment phase, not the next step. Choice C is incorrect as collaborating with the patient and reviewing information is important but typically occurs earlier in the process. Choice D is incorrect as evaluating the information collected is part of the assessment phase, not the next step.

Correct Answer: B

Rationale: The correct answer is B: Flexor carpi ulnaris (FCU). The median nerve innervates the flexor carpi radialis (A), palmaris longus (C), and flexor pollicis longus (D), all muscles involved in wrist and finger flexion. The FCU is innervated by the ulnar nerve, not the median nerve, making it the exception in this case. Therefore, choice B is incorrect.

Correct Answer: C

Rationale: The correct answer is C: Trigger points. Myofascial pain syndrome is characterized by localized areas of muscle tightness and tenderness called trigger points. These points can cause referred pain and muscle dysfunction. Choice A is incorrect because the tenderness in myofascial pain syndrome is typically localized, not widespread. Choice B is incorrect as tender points are different from trigger points and are not specific to myofascial pain syndrome. Choice D is incorrect as myofascial pain syndrome is associated with changes in muscle tension due to the presence of trigger points.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Guyon's canal houses the ulnar nerve and ulnar artery. 2. This canal is located at the wrist, between the pisiform and hook of the hamate. 3. The correct answer, choice C, includes both the ulnar nerve and ulnar artery passing through Guyon's canal. 4. Choices A, B, and D are incorrect as they include structures that do not pass through Guyon's canal, such as the extensor carpi ulnaris and adductor pollicis.

Correct Answer: A

Rationale: The correct answer is A: Objective. Objective data refers to measurable and observable information obtained through physical examination or diagnostic tests. In this case, the nurse's documentation of the patient's respirations and pulse rate are concrete, quantifiable data that can be verified by another healthcare provider. Eupneic respirations and a pulse rate of 58 beats per minute are specific, factual findings that can be seen or measured. On the other hand, subjective data (choice C) is based on the patient's feelings or statements, which are open to interpretation and cannot be objectively measured. Reflective (choice B) and introspective (choice D) do not apply in this context as they refer to different types of data unrelated to the patient's physical assessment.