Which of the following examples given indicate objective data? (Select all that apply.)
a. Respirations - 24 breaths per minute
b. Platelet count - 350,000 mm3
c. Wound size - 3 cm X 2 cm
d. Temperature - 98.4 ° F (36.8 ° C)
e. Complaints of severe abdominal pain.
ANS: A, B, C, D
Objective data, also referred to as signs, can be measured or observed. The nurse's senses of sight, hearing, touch, and smell are used to collect objective data. Objective assessment data are acquired through observation, physical examination, and analysis of laboratory and diagnostic test results. Subjective data are spoken information or symptoms that cannot be authenticated. Subjective data usually are gathered during the interview process if patients are well enough to describe their symptoms.
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During a 14-year-old adolescent's physical examination, the nurse identifies that he plays soccer and football and is complaining of knee pain when he rises from a squatting position. The nurse should suspect:
a. Legg-Calvé-Perthes disease. b. osteomyelitis. c. Duchenne muscular dystrophy. d. Osgood-Schlatter disease.
What might be the features of a ‘desirable' environment for the conduct of qualitative interviews?
What will be an ideal response?
Upon entering an exam room, the client states, "Well! I was getting ready to leave. My schedule is very busy and I don't have time to waste waiting until you have the time to see me!" Which response by the nurse would be most appropriate?
A) "Our schedule is very busy also. We got to you as soon as we could." B) "No one is holding you captive, you are free to leave at any time." C) "Would you like to speak to the office manager about your complaint?" D) "You seem very angry. I am ready to begin your exam now."
A young male patient is diagnosed with early stage Buerger's disease. What assessment finding does the nurse expect to find in the patient's record?
a. Claudication of the arch of the foot b. Intolerance of warm environments c. Dizziness and lightheadedness d. Pain in the lower back with ambulation