A nurse is documenting data collection findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)
Client reports the rash on their back is itchy
Client reports nausea following administration of pain medication.
Client has a raised, red rash on their upper back.
Client reports dull, aching pain in lower right calf.
Client's oral temperature is 38.4° C (101.2° F).
Correct Answer : A,B,D
A. This entry reflects the client’s personal experience and perception of the rash. It is not measurable and relies on the client’s description.
B. This statement is also based on the client’s experience and feelings about their condition after taking medication. It is a personal report and not an observable finding.
C. This is an observation made by the nurse. The description of the rash is measurable and can be documented as a physical finding.
D. Similar to options A and B, this entry describes the client’s perception of pain. It is a personal
experience that cannot be directly measured.
E. This is a measurable finding obtained through a thermometer. It provides concrete evidence of the
client’s condition and does not rely on the client’s report.
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Related Questions
Correct Answer is D
Explanation
A. Adequate hydration is crucial for overall health, particularly for those in the nursing profession, which can be physically demanding. Nurses should be encouraged to drink sufficient water daily to maintain hydration, rather than restricting intake.
B. This recommendation is insufficient for most adults. While individual sleep needs can vary, most adults require between 7 to 9 hours of sleep per night for optimal functioning, health, and recovery. Thus, suggesting only 5 hours is not supportive of good self-care practices.
C. While any exercise is better than none, recommending only once a week is not ideal. Current guidelines generally suggest that adults engage in at least 150 minutes of moderate aerobic activity each week, spread across several days.
D. This is a beneficial self-care practice. Preparing and bringing healthy meals to work supports proper nutrition, energy levels, and overall health. It helps nurses avoid unhealthy options that may be more convenient in a work setting and promotes better dietary choices.
Correct Answer is ["B","D","E"]
Explanation
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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