An elementary school student comes to school nurse's office reporting a headache. The nursing assessment begins by gathering which subjective data? (Select all that apply.)
A) Where it hurts on the child's head
B) Whether the pain is constant, throbbing, or intermittent
C) What the child's temperature is on arrival
D) How bad the pain is on a scale of 1 to 10
E) The presence of a bruise on the child's forehead
Ans: A, B, D
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The nurse should begin by collecting subjective data gathered from the child, teacher, or parent, or any other witness to the complaint. Subjective data are those that are reported by the client or others but that are not directly observable by the nurse. Data should include location, frequency, duration and severity, quality, quantity, setting, associated symptoms, and factors that make the symptom better or worse. Objective data are those that are directly observable by the nurse, such as the child's temperature on arrival and the presence of a bruise on the child's forehead.
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