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.
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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Related Questions
Correct Answer is D
Explanation
A. This involves self-talk or inner dialogue. It's communication with oneself.
B. This refers to communication that occurs within a person's spirit. It often involves a connection to something larger than oneself, such as spirituality or religion.
C. This type of communication involves speaking to a large group of people.
D. This is communication between two or more people.
Correct Answer is B
Explanation
A. A researcher focuses on conducting studies, gathering data, and contributing to the evidence base in healthcare. While researchers play a crucial role in advancing knowledge and improving practices, this role does not primarily involve organizing or coordinating the efforts of interprofessional team members for client care.
B. A care coordinator is responsible for organizing and managing the various aspects of a client's care across different healthcare professionals and services. This role involves ensuring that all team members work together efficiently to address the client’s needs, managing transitions of care, and facilitating communication among team members. In this context, the nurse who is organizing interprofessional team members to meet the needs of a client is performing the role of a care coordinator.
C. A counselor provides support, guidance, and therapeutic interventions to clients and their families. This role involves helping clients cope with emotional, psychological, or social issues. While important in client care, it is not primarily focused on organizing and coordinating the contributions of different professionals.
D. An educator is responsible for teaching clients, families, or healthcare staff about various aspects of health, illness, and care management. This role involves providing information and instruction but does not specifically include the task of organizing and coordinating the efforts of an interprofessional team.
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