A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data?

(Select All that Apply.)

Client reports dull, aching pain in lower right calf.

Client reports nausea following administration of pain medication.

Client's oral temperature is 38.4° C (101.2° F).

Client reports the rash on their back is itchy.

Client has a vesicular rash on their upper back.

Answer and Explanation

Correct Answer : A,B,D

A.   This is subjective data. The description of pain as "dull" and "aching" is based on the client's personal experience and cannot be measured directly by the nurse. Pain is a subjective symptom because it varies from person to person and is reported by the patient.
B.   This is subjective data. Nausea is a feeling or sensation reported by the client and is based on their personal experience. The nurse relies on the client's report to assess this symptom, as it cannot be directly observed or measured.
C.   This is objective data. The temperature reading is a measurable, quantifiable fact that can be directly observed and recorded by the nurse using a thermometer. It provides concrete evidence of the client's condition.
D.   This is subjective data. Itchiness is a sensation reported by the client and is based on their personal experience. The nurse cannot measure itchiness directly; they rely on the client’s description to understand the symptom.
E.   This is objective data. The presence of a vesicular rash is an observable finding that the nurse can see and document. It is a physical characteristic that can be directly assessed and recorded.

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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. Educator B. Advocate C. Mentor D. Researcher

Correct Answer is D

Explanation

A. Educators typically disseminate knowledge to others, but they don't necessarily collect data to generate new knowledge.
B. Advocates primarily support and defend the rights or interests of others. While this can involve data collection, it's not the primary focus in this scenario.
C. Mentors provide guidance and support to individuals, but they are not typically involved in research or data collection.
D. Researchers systematically collect and analyze data to answer questions and contribute to knowledge. In this case, the nurse is conducting research to determine the best practices for reducing pressure injuries.

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A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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

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Correct Answer is D

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A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data?

(Select All that Apply.)