The nurse is completing an admission assessment. The assessment form allows for the separation of subjective and objective data. Distinguish which of the following are examples of subjective data utilized by the nurse
Standard Text: Select all that apply. 1. The client's mother informs the nurse that her daughter has not been sleeping due to pain.
2. The client states, "I have pain in my belly that is 7 out of 10."
3. Abdominal assessment reveals a firm, hard abdomen.
4. The client is weak and looks very pale.
5. The client appears nervous during the data collection period.
1,2
Rationale 1: The client's mother informs the nurse that her daughter has not been sleeping due to pain. Subjective data is information the client experiences and communicates to the nurse. This information can be provided by either the client or other individuals.
Rationale 2: The client states, "I have pain in my belly that is 7 out of 10." Subjective data is information the client experiences and communicates to the nurse.
Rationale 3: Abdominal assessment reveals a firm, hard abdomen. Data that are observed by the examiner are termed objective data.
Rationale 4: The client is weak and looks very pale. Data that are observed by the examiner are termed objective data.
Rationale 5: The client appears nervous during the data collection period. Data that are observed by the examiner are termed objective data.
You might also like to view...
A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?
a. Confusion b. Tachycardia c. Hypertension d. Retained secretions
The nurse is caring for the client who is taking lithium carbonate. The nurse reviews the client's laboratory studies and notes that the lithium level is 2.0 meq/L. The nurse assesses the client for:
1. polyuria. 2. weight gain. 3. muscle weakness. 4. mild nausea.
Nurses on a unit provide personal hygiene, administer medications, educate the patient and family about treatments, and provide emotional support. These nurses provide patient care based on which nursing delivery system?
a. Total patient care b. Partnership nursing c. Team nursing d. Functional nursing
How does acarbose (Precose) prevent blood glucose levels from rising too high?
a. It limits the intestinal enzyme that converts complex carbohydrates into glucose. b. It blocks the absorption of carbohydrates and glucose in the intestines. c. It enhances the binding of insulin to its membrane receptors. d. It releases more insulin from pancreatic beta cells.