The nurse is admitting a client to the acute care facility. The health history form has a place for recording subjective data. The nurse understands that primary subjective data should be obtained from which of the following sources?

1. The client's physical assessment
2. The client's self-reports
3. The client's healthcare provider
4. The client's significant other


2
Rationale 1: The physical assessment will be recorded as objective data.
Rationale 2: Subjective data are gathered from the interview. The interview includes the health history and focused interview. Data will come from primary and secondary sources.
Rationale 3: The client's healthcare provider and significant other may contribute in the data collection process. The information obtained from friends and family members is considered subjective. This source of information is termed secondary.
Rationale 4: The client's significant other may contribute in the data collection process but that input is classified as subjective.

Nursing

You might also like to view...

The client who was taking zaleplon (Sonata) took about an hour to fall asleep the first night after it was discontinued. The client asks the nurse if this means that the client is addicted to the medication. Which nursing response is correct?

1. There are no sedative–hypnotics that can be addictive. 2. This medication is not associated with withdrawal symptoms. 3. Usually the medication is tapered off over six weeks to prevent withdrawal. 4. The client is addicted, but withdrawal is mild.

Nursing

In the recovery room, the nurse checks the newly delivered woman's fundus following a cesarean section. How would the nurse proceed with this assessment?

a. Palpate from the midline to the side of the body. b. Palpate from the symphysis to the umbilicus. c. Palpate from the side of the uterus to the midline. d. Massage the abdomen in a circular motion.

Nursing

A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines that additional teaching is needed when the woman states which of the following?

A) "I will use a soft toothbrush to brush my teeth.". B) "I can take ibuprofen if I have any pain.". C) "I need to avoid drinking any alcohol.". D) "I will call my health care provider if my stools are black and tarry.".

Nursing

The postpartum nurse is reviewing oral-nasal bulb suctioning with a first-time mom. Which statement will the nurse need to correct?

a. "Depress the bulb prior to inserting the tip." b. "Suction the nose first and then the mouth." c. "Keep a bulb syringe in the bassinet at all times." d. "Gradually release the pressure on the bulb while withdrawing it."

Nursing