A client reports to a health care facility with complaints of abdominal pain and As the client is in a conscious state, he himself is the primary source of information 3.A client is being prepared for cardiac catheterization. The nurse performs an initi
A client reports to a health care facility with complaints of abdominal pain and As the client is in a conscious state, he himself is the primary source of information 3.A client is being prepared for cardiac catheterization. The nurse performs an initial depressed, but this is not the highest priority. B)Nausea A)Client's friends D)Test reports assessment and records the vital signs. Which of the following data collected can be be the secondary sources of data. classified as subjective data? D)Risk for imbalanced nutrition infections, and also impairs his or her already weakened immune functions. Clients with C)Client himself HIV may not have problems with other activities and food. They may often feel A)Risk for activity intolerance Feedback: D)Respiratory rate C)Heart rate B)Client's wife Ans:C 2.A client with HIV has been admitted to a health care facility. Which of the following B)Risk for ineffective coping A)Blood pressure vomiting. The client's wife informs the nurse that the client had gone out for dinner the C)Risk for infection previous night. Which of the following would be the primary source of assessment data? client with HIV is life-threatening, because it makes the client vulnerable to other Ans:C Clients with HIV have decreased immunity and are prone to infections. Infection in a nursing diagnoses should be of the highest priority, keeping in mind the client's Feedback: Feedback: Subjective data are those that the client can feel and describe. Nausea is subjective data, Ans:B as it can only be described and not measured. Blood pressure, heart rate, and respiratory condition? since he can give firsthand information. The client's wife, friends, and test results would rate are measurable factors and are therefore objective data.
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