The nurse is performing a physical assessment of the client. Which of the following pieces of information are examples of objective data? Standard Text: Select all that apply
1. Apical pulse is 94 beats per minute.
2. Blood pressure in right arm is 118/74.
3. The client has a nonproductive cough.
4. The client reports that his pain is severe and throbbing.
5. Respiratory rate is 18 breaths per minute.
1,2,3,5
Rationale 1: Apical pulse 94 beats per minute. Objective data can be observed or measured by any professional nurse. These are signs and can be measured, seen, felt, or auscultated by the professional nurse. An apical pulse is objective data because it can be auscultated. A blood pressure can be auscultated by any professional nurse.
Rationale 2: Blood pressure in right arm 118/74. Objective data can be observed or measured by any professional nurse. These are signs and can be measured, seen, felt, or auscultated by the professional nurse. A blood pressure can be auscultated by any professional nurse.
Rationale 3: The client has a nonproductive cough. Objective data can be observed or measured by any professional nurse. These are signs and can be measured, seen, felt, or auscultated by the professional nurse. A client's cough can be heard by any professional nurse.
Rationale 4: The client reports that his pain is severe and throbbing. The client's description of his pain is subjective data because the nurse must rely on the client to provide this information.
Rationale 5: Respiratory rate 18 breaths per minute. Objective data can be observed or measured by any professional nurse. These are signs and can be measured, seen, felt, or auscultated by the professional nurse. The client's respiratory rate can be measured by any professional nurse.
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