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 ["A","B","C"]

Explanation

A. This is included in the love and belonging level. Friendships represent social connections and a sense of belonging to a community, which are fundamental for emotional health and well-being.
B. This is also included in the love and belonging level. Intimacy refers to close relationships, including romantic partnerships, which are crucial for fulfilling emotional and social needs.
C. This is included in the love and belonging level as well. Family connections provide a primary source of love, support, and belonging, making them essential for emotional health.
D. This is not included in the love and belonging level; rather, it falls under the esteem needs category of Maslow's hierarchy. Self-respect relates to personal feelings of worth and accomplishment.
E. This is also not included in the love and belonging level. Status is associated with esteem needs, relating to recognition, respect from others, and social standing rather than connections and relationships.

A. Teaching the client about exercise programs B. Recommending regular exams C. Assisting a 35-year-old female with a mammogram D. Educating the client about safe habits E. Assisting with transplant surgery

Correct Answer is ["E"]

Explanation

A. This reflects primary care. Teaching clients about exercise is aimed at promoting health and preventing disease, which is a fundamental aspect of primary healthcare.
B. This also pertains to secondary care. Regular exams are important for early detection of health issues, helping to catch problems before they become more serious. This activity does not reflect tertiary care.
C. This activity is related to secondary care. A mammogram is a screening tool used for early detection of breast cancer. Assisting with this procedure does not represent tertiary care, as it focuses on prevention and early diagnosis rather than treatment of an established condition.
D. This is another example of primary care. Educating clients about safe habits is aimed at promoting health and preventing injury or illness, which aligns with primary prevention efforts.
E. This is the correct choice and reflects tertiary care. Transplant surgery is a complex procedure that involves specialized medical intervention for individuals with severe health conditions. It is focused on treatment after a disease has progressed, which is characteristic of tertiary care.

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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

Which client growth needs are included in the love and belonging level of Maslow's hierarchy?(Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

Which nursing activity reflects care given on the tertiary level of healthcare delivery? Select All that Apply

Correct Answer is ["E"]

Explanation

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