A nurse is documenting the data collected from an ongoing assessment of a client who has diabetes mellitus. The nurse writes, "The client reports feeling thirsty and hungry all the time.”. How should the nurse label this type of data?
Objective data.
Subjective data.
Primary data.
Secondary data.
The Correct Answer is B
Choice A reason:.
Objective data is anything that you can observe through your sense of hearing, sight, smell, and touch while assessing the patient. For example, vital signs, physical examination findings, and laboratory results are objective data. The client's report of feeling thirsty and hungry is not something that the nurse can observe directly, so it is not objective data.
Choice B reason:.
Subjective data is information obtained from the patient and/or family members and offers important cues from their perspectives. For example, the patient's pain level, feelings, beliefs, and preferences are subjective data. The client's report of feeling thirsty and hungry is something that only the client can describe, so it is subjective data. This is the correct answer.
Choice C reason:.
Primary data is information provided directly by the patient. For example, the patient's history, symptoms, and concerns are primary data. The client's report of feeling thirsty and hungry is primary data, but this is not the best answer because it does not specify whether it is subjective or objective. Primary data can be either subjective or objective depending on the source.
Choice D reason:.
Secondary data is information collected from a family member, chart, or other sources. For example, the patient's previous records, family history, and test results are secondary data. The client's report of feeling thirsty and hungry is not secondary data because it comes from the client directly, not from another source.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A :
Comparing the client's vital signs with the previous ones is not the first action the nurse should take during an initial assessment. This is a part of an ongoing or focused assessment that monitors the client's response to treatment and identifies any changes in their condition.
Choice B :
Asking the client about their medical history and current medications is the correct action the nurse should take during an initial assessment. This is a part of collecting subjective data from the client that can provide valuable information about their health status, risk factors, allergies, preferences, and needs. This can help the nurse to identify any potential problems or complications related to the client's pneumonia and plan appropriate interventions.
Choice C :
Performing a head-to-toe physical examination of the client is not the first action the nurse should take during an initial assessment. This is a part of collecting objective data from the client that involves inspecting, palpating, percussing, and auscultating various body systems. However, before performing a physical examination, the nurse should obtain consent from the client, explain the purpose and procedure, and ensure privacy and comfort.
Choice D:
Evaluating the effectiveness of the prescribed antibiotics is not the first action the nurse should take during an initial assessment. This is a part of the evaluation phase of the nursing process that involves comparing the client's outcomes with the expected outcomes and modifying the plan of care as needed. However, before evaluating the effectiveness of any intervention, the nurse should first assess the client's baseline data and implement the intervention according to the plan of care.
Correct Answer is B
Explanation
Choice A reason:.
Objective data is anything that you can observe through your sense of hearing, sight, smell, and touch while assessing the patient. For example, vital signs, physical examination findings, and laboratory results are objective data. The client's report of feeling thirsty and hungry is not something that the nurse can observe directly, so it is not objective data.
Choice B reason:.
Subjective data is information obtained from the patient and/or family members and offers important cues from their perspectives. For example, the patient's pain level, feelings, beliefs, and preferences are subjective data. The client's report of feeling thirsty and hungry is something that only the client can describe, so it is subjective data. This is the correct answer.
Choice C reason:.
Primary data is information provided directly by the patient. For example, the patient's history, symptoms, and concerns are primary data. The client's report of feeling thirsty and hungry is primary data, but this is not the best answer because it does not specify whether it is subjective or objective. Primary data can be either subjective or objective depending on the source.
Choice D reason:.
Secondary data is information collected from a family member, chart, or other sources. For example, the patient's previous records, family history, and test results are secondary data. The client's report of feeling thirsty and hungry is not secondary data because it comes from the client directly, not from another source.
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