A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data?

(Select All that Apply.)

The client's current blood pressure is below their preoperative reading.

The client's right calf is swollen and warm to the touch.

The client is reporting nausea.

The client states they are experiencing "extreme pain".

The client's urine output has been 150 mL over the past 3 hr.

Answer and Explanation

Correct Answer : A,B,E

A.   Blood pressure is a measurable physiological parameter that can be accurately recorded by the nurse using a sphygmomanometer. It provides concrete evidence of the client’s current condition compared to their preoperative baseline.
B.   The swelling and warmth of the calf are observable and measurable physical signs that the nurse can assess through physical examination. These findings can be documented and evaluated independently of the client's personal feelings or reports.
C.   Nausea is a symptom experienced and reported by the client. It cannot be directly measured or observed by the nurse but rather is based on the client's personal sensations and experiences.
D.   Pain is a personal experience and is reported by the client. The description of pain, including its intensity and quality, is based on the client's own perception and cannot be directly measured by the nurse.
E.   Urine output is a quantifiable measurement that can be recorded and assessed by the nurse. It
provides concrete information about the client’s fluid balance and renal function over a specific period.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Synthesis involves combining different pieces of information and knowledge to form a coherent whole. In nursing, this means integrating data from various sources (e.g., patient history, physical examination, lab results) to create a comprehensive understanding of the patient's condition and develop appropriate care plans.
B. Intuition refers to the ability to understand or know something without the need for conscious reasoning. While intuition can play a role in clinical practice, especially with experienced nurses who have developed a strong sense of clinical judgment, it is not considered a formal critical thinking skill.
C. Evaluation involves assessing the credibility and significance of information, including the effectiveness of interventions and the accuracy of assessments. In nursing, evaluation is crucial for determining whether the care provided is achieving the desired outcomes and for making necessary adjustments
D. Interpretation involves understanding and explaining the meaning of data or information. In nursing, this means making sense of clinical findings, patient symptoms, and diagnostic results to guide decision- making. Effective interpretation helps nurses accurately understand patient conditions and plan appropriate interventions.
E. Analysis involves breaking down complex information into smaller, manageable parts to understand it better. In nursing, this skill is used to evaluate and understand patient data, identify patterns, and assess the relevance of information to make informed decisions.

A. Intrapersonal B. Transpersonal C. Public D. Interpersonal

Correct Answer is D

Explanation

A. This involves self-talk or inner dialogue. It's communication with oneself.
B. This refers to communication that occurs within a person's spirit. It often involves a connection to something larger than oneself, such as spirituality or religion.
C. This type of communication involves speaking to a large group of people.
D. This is communication between two or more people.

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A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data?

(Select All that Apply.)