The nurse is reviewing the following flow chart entries for a client experiencing pain. Which of the following chart entries represents a subjective entry?
1. The client's leg is red and swollen.
2. The client complains of leg tenderness.
3. The client's white blood cell count is 5.6.
4. The client demonstrates guarding behaviors during the assessment of the affected extremity.
2
Rationale 1: Objective information is observable by the examiner. The examiner is able to visualize the appearance of the extremity.
Rationale 2: Subjective information refers to data reported by the client. The client's complaints are an example of subjective information.
Rationale 3: The laboratory values are objective data that can be determined by a technician.
Rationale 4: Objective information is observable by the examiner. The presence of guarding behaviors may be noted by the examiner.
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