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

The client is reporting nausea.

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

The client states they are experiencing "extreme pain".

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

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

Answer and Explanation

Correct Answer : B,D,E

A.   It reflects the client’s personal feelings and experiences regarding their condition. Since it is based on
the client's report rather than measurable findings, it does not qualify as objective data.
B.   It provides measurable information about the client's urine output, which can be quantified and observed by the nurse. Objective data is factual and can be verified by anyone observing the situation.
C.   Like the nausea report, this statement is based on the client’s personal experience and perception of
pain. It cannot be measured objectively, making it subjective.
D.   Blood pressure readings are measurable and can be objectively compared to preoperative values. This information provides concrete data regarding the client's current condition.
E.   The observations of swelling and warmth can be directly assessed and are factual findings that can be confirmed by the nurse during the physical examination.

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Correct Answer is D

Explanation

A. Electronic communication carries significant risks of privacy violations, particularly concerning patient confidentiality and data security. Nurses must be aware of these risks and take appropriate measures to protect patient information.
B. Sending prescriptions electronically should always be done using secure, encrypted methods to protect sensitive patient information. Using unencrypted devices poses a risk of interception and privacy violations, so this practice is not acceptable in a healthcare setting.
C. Social media is indeed a form of electronic communication, and it can be used for various purposes, including sharing health information. However, nurses must be cautious about using social media to protect patient privacy and maintain professionalism.

D. Video conference calls are a legitimate form of electronic communication that allows healthcare providers to interact with clients remotely. This method can be especially useful for telehealth services, enabling timely consultations and follow-ups.

A. Quaternary B. Primary C. Secondary D. Tertiary

Correct Answer is D

Explanation

A. Quaternary prevention focuses on preventing unnecessary interventions or overmedicalization. It aims to protect patients from harm and ensure that they receive only the necessary care. Administering insulin does not fit this definition.
B. Primary prevention involves measures taken to prevent the onset of disease or injury before it occurs. This includes health education, vaccinations, and lifestyle changes to prevent diseases. Administering insulin does not fall under this category, as it does not prevent diabetes but rather manages it.
C. Secondary prevention aims to detect and treat diseases early to reduce their impact. This includes screenings and interventions that occur after a disease has developed but before significant symptoms appear. Administering insulin is not a preventive measure in this context.
D. Tertiary prevention involves managing and reducing the impact of an existing disease. It focuses on rehabilitation and maintaining quality of life. Administering insulin to a client with type 1 diabetes is an example of tertiary prevention, as it is part of the management and treatment of a chronic condition to prevent complications.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is D

Explanation

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