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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While important for health, this choice is more about healthcare access rather than the social and community context that affects health outcomes.
B. This relates to educational resources but is not a primary example of the social context affecting health directly.
C. Access to transportation affects a person's ability to reach healthcare services, social support, and community resources. It plays a significant role in social interactions and overall well-being, highlighting how transportation availability impacts health outcomes within the community context.
D. While relevant to community health and encouraging physical activity, it focuses more on environmental factors rather than directly addressing social context.
Correct Answer is C
Explanation
A. This refers to social needs, including relationships, affection, and a sense of belonging. While important for emotional well-being, it does not pertain to safety needs.
B. This represents the need for personal growth, fulfillment, and realizing one’s potential. It is the
highest level in Maslow's hierarchy and does not relate to safety needs.
C. This is an example of a safety need. Job security provides a sense of stability and protection against economic uncertainty. Feeling secure in employment contributes to overall safety and reduces anxiety about financial instability.
D. Esteem needs involve feelings of self-worth, accomplishment, and respect from others. While important for psychological health, they do not directly address safety needs.
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