Of the following information collected during a nursing assessment, which are subjective data?
A) vomiting, pulse 96
B) respirations 22, blood pressure 130/80
C) nausea, abdominal pain
D) pale skin, thick toenails
Ans: C
Subjective data are information perceived only by the affected person. They cannot be perceived or verified by another person. Other terms for subjective data are symptoms or covert data.
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A client has a traumatic brain injury and a positive halo sign. The client is in the intensive care unit, sedated and on a ventilator, and is in critical but stable condition. What collaborative problem takes priority at this time?
a. Inability to communicate b. Nutritional deficit c. Risk for acquiring an infection d. Risk for skin breakdown
The complete assessment is done when the client is admitted to the healthcare facility. Information that the LPN/LVN may be asked to collect includes:(Select all that apply) Standard Text: Select all that apply
1. Allergies 2. Level of ambulation 3. Nursing diagnoses 4. Head to toe assessment 5. Fall risk assessment
President George W. Bush signed a law that mandated the development of an EHR for every American by which year?
1. 2013 2. 2014 3. 2015 4. 2020
A nurse demonstrates active listening when doing which of the following? Select all that apply
1. Ignoring nonverbal cues 2. Tuning out intrusions and distractions 3. Using all of the senses to interpret verbal messages 4. Using all of the senses to interpret nonverbal messages 5. Paying attention to both what the speaker is saying and not saying