Which client data are the least objective?

1. Cool and dusky skin
2. Low flow rate oxygen
3. 30 breaths per minute
4. Very restless and drowsy


2
2. Low flow rate oxygen is the least objective data and the data most subject to inter-pretation because the quantity of oxygen is not as precise as "liters/minute" or the "percentage" of oxygen. The remaining options provide more verifiable data.
1. Cool and dusky skin is specific because the nurse expects to find skin that is not warm and not pink.
3. Thirty-breaths per minute is a very specific, objective finding because one number indicates a specific number of breaths.
4. Similarly, very restless and drowsy is specific and indicates unusual findings; the nurse expects to find a client who is lethargic, not fully alert, and fidgeting in bed excessively.

Nursing

You might also like to view...

What should the nurse instruct an older patient to do to support healthy eating habits? Standard Text: Select all that apply

1. Increase fiber intake. 2. Reduce sodium intake. 3. Look for hidden sugar. 4. Enjoy olive oil and walnuts. 5. Complete a meal in 10 minutes.

Nursing

The patient has been diagnosed with a stroke and is aphasic. How might the nurse make the patient's atmosphere conducive to communication?

A) Help the patient to compose a list of daily tasks. B) Have the patient speak to loved ones on the phone daily. C) Help the patient complete his or her sentences. D) Speak in a louder voice to the patient.

Nursing

A nurse is working in an acute psychiatric unit. The nurse makes this statement to a co-worker after reviewing a newly admitted client's medical record: "Another client with bipolar disorder. We better be ready for a busy night."

This nurse is exemplifying which process of Swanson's theory of caring? 1. Knowing 2. Being with 3. Doing for 4. Enabling

Nursing

Diseases that can be communicated from one person to another are called

a. contagious. c. contaminated. b. deceptive. d. isolated.

Nursing