A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?
Alert
Restless
Anxiety
Pacing
The Correct Answer is C
Anxiety is a subjective emotional state characterized by feelings of worry, nervousness, or unease. If the client reports feeling anxious, this would be considered subjective because it is based on their own perception of their emotional state.
A. Alert refers to the client's level of consciousness and awareness of their surroundings.
B. Restlessness refers to a feeling of agitation or inability to stay still.
D. Pacing is an observable behavior where the client is walking back and forth in the room.
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Related Questions
Correct Answer is C
Explanation
Nausea refers to the sensation of feeling sick to the stomach, and it is a symptom that is reported by the client. Since it is based on the client's perception and cannot be directly observed by the nurse, it is considered subjective data.
A. Blood pressure is a measurable vital sign that can be obtained using a blood pressure cuff and stethoscope.
B. Cyanosis is a bluish discoloration of the skin or mucous membranes due to insufficient oxygenation of the blood.
D. Petechiae are small, pinpoint-sized red or purple spots on the skin that result from bleeding under the skin.
Correct Answer is A
Explanation
Genetics refers to the hereditary traits passed down from one's parents. It encompasses factors such as family history, genetic mutations, and predispositions to certain diseases. Genetics cannot be altered or changed through behavioral or lifestyle modifications.
B, C, D are modifiable risk factors.
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