The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, "I'm going to have a little mole removed. I'm not worried. The surgery will take only an hour, and then I will go home

Question

I've never been sick a day in my life, so I'll be fine." The nurse finds the following during her physical assessment: blood pressure is 150/90; temperature is 98.6 ° F; pulse is 88 beats per minute; respiration is 20 breaths per minute; black, brown, and red pigmented pea-sized raised area on her shoulder. Which of the above information would be considered objective data? (Select all that apply.)
a.
Twisting handkerchief
b.
Blood pressure 150/90
c.
"I'm having this little mole removed."
d.
Patient is worried.
e.
Patient is exhibiting denial.

Answer 1

ANS: A, B

Correct
Twisting handkerchief and blood pressure 150/90 are measurable or observable data.
Incorrect
"Patient is worried" is subjective data, and "I'm having this little mole removed" is the patient's description of what is going to occur. ""Patient is worried" is incorrect because this is a conclusion the nurse might make based on the subjective and objective data. "Patient is exhibiting denial" is incorrect because this is a conclusion or inference that the nurse might make based on the data.