NURS 212|67 Practice Questions And Answers

A nurse observes a patient lying rigidly in bed taking shallow breaths. The patient reports a 4 out of 5 on the pain scale and says "my leg hurts." The nurse determines that together, the objective and subjective data are: - ️️congruent and support that the patient is in pain A nurse manager tells you, "I am here for you anytime you need me, just stop by" but her door is always closed. Is this congruent or incongruent? - ️️incongruent describe the nursing process. - ️️a process used to identify and solve patient problems The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, "I'm going to have a little mole removed. I am not worried. I've never been sick, so I'll be fine." The nurse finds the following during her physical assessment: BP is 150/90, temperature is 98.6, pulse is 88, respiration rate is 20, and there are red pigmented pea sized areas on her shoulder. Which of the following is OBJECTIVE data? (SATA) - ️️1. Twisting handkerchief 2. BP, pulse, temperature, respiration rate, pigmented pea sized areas on her shoulder The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, "I'm going to have a little mole removed. I am not worried. I've never been sick, so I'll be fine." The nurse finds the following during her physical assessment: BP is 150/90, temperature is 98.6, pulse is 88, respiration rate is 20, and there are red pigmented pea sized areas on her shoulder. Which of the following is SUBJECTIVE data? - ️️"I'm going to have a little mole removed. I am not worried. I've never been sick, so I'll be fine." If you're taking BP on a patient and it is very high, and the physician calls you and asks about the BP and you say it is high, why is this an issue? - ️️It is an interpretation - you need to give an objective measure.