A nurse is completing a client’s assessment.
Which of the following should the nurse consider as objective data?
Fatigue.
Dizziness.
Numbness.
Physical examination results.
The Correct Answer is D
Choice A rationale
Fatigue is a subjective symptom reported by the client. It is based on the client’s personal experience and cannot be objectively measured or observed by the nurse. Therefore, it is not considered objective data.
Choice B rationale
Dizziness is also a subjective symptom reported by the client. It reflects the client’s personal experience and cannot be directly observed or measured by the nurse. As such, it is not considered objective data.
Choice C rationale
Numbness is another subjective symptom reported by the client. It is based on the client’s personal sensation and cannot be objectively measured or observed by the nurse. Therefore, it is not considered objective data.
Choice D rationale
Physical examination results are objective data. They are obtained through direct observation, measurement, and assessment by the nurse. Examples of objective data include vital signs, physical examination findings, and laboratory results. These data are reproducible and can be verified by other healthcare professionals.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Vomiting is objective data as it can be observed and measured by the nurse.
Choice B rationale
Blood pressure reading is objective data as it is a measurable and observable finding.
Choice C rationale
Auscultation of heart murmur is objective data as it is an observable finding during a physical examination.
Choice D rationale
Client’s complaint of palpitations is subjective data as it is based on the client’s personal experience and cannot be directly observed or measured by the nurse.
Correct Answer is C
Explanation
Choice A rationale
A common adverse event that occurs frequently is not considered a sentinel event. Sentinel events are rare and unexpected occurrences that result in severe harm or death. Common adverse events, while important to address, do not meet the criteria for sentinel events.
Choice B rationale
A minor incident that does not require reporting is not considered a sentinel event. Sentinel events are serious and significant occurrences that require immediate investigation and response. Minor incidents, while important to address, do not meet the criteria for sentinel events.
Choice C rationale
An unexpected occurrence involving death or serious physical or psychological injury is the definition of a sentinel event. These events are significant and require immediate investigation and response to prevent recurrence. Sentinel events signal the need for a thorough review of the processes and systems involved to identify and address the root causes.
Choice D rationale
A situation where the patient experiences temporary discomfort is not considered a sentinel event. Sentinel events involve severe and lasting harm, such as death or permanent injury.
Temporary discomfort, while important to address, does not meet the criteria for sentinel events.
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