A patient with moderate lower back pain tells the nurse, "My urine smells awful and is as dark as my glass of tea." Which action will assist in validating the patient's concern?
a. Ask the patient to describe the back pain.
b. Review the lab results of the most recent urinalysis.
c. Request the nursing assistant to obtain a set of vital signs.
d. Check the patient's history for urinary tract infections.
ANS: B
As patient information is collected, consistency between subjective and objective data must be confirmed. Sometimes, the nurse can use laboratory and diagnostic test results to validate the subjective data. For example, objective data can validate patient subjective data when the patient's hemoglobin level is low, indicating anemia, and the patient complains of feeling fatigued and dizzy. The nurse has the responsibility to attempt to determine the reason behind the patient's complaint. Obtaining a set of vital signs, reviewing the patient's history, and exploring the patient's pain are appropriate actions but cannot validate the current problem.
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