A nurse has worked in the trauma critical care area for several years. Which noise may become indiscriminate for this particular nurse?
1. A client with audible breathing
2. Moaning of a client in pain
3. Whirring of ventilators
4. Co-orkers discussing their clients' conditions
Correct Answer: 3
Rationale 1: Nurses often need to focus on specific data in order not to be overwhelmed by a multitude of data. Observing involves discriminating data in a meaningful manner (i.e., noticing things that may indicate cause for concern or action on the nurse's part). Listening to a client's breathing helps the nurse become attentive to changes in breathing patterns.
Rationale 2: Nurses often need to focus on specific data in order not to be overwhelmed by a multitude of data. Observing involves discriminating data in a meaningful manner (i.e., noticing things that may indicate cause for concern or action on the nurse's part). A client's moans of pain should never become easy to listen to.
Rationale 3: The noises of machines and other equipment noises—except alarms—would be easy to ignore, as these are the usual, normal sounds of the unit.
Rationale 4: Nurses often need to focus on specific data in order not to be overwhelmed by a multitude of data. Observing involves discriminating data in a meaningful manner (i.e., noticing things that may indicate cause for concern or action on the nurse's part). Listening to coworkers discuss other clients on the unit is helpful in case the nurse has to attend to any one of them.
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