At the end of the shift, the nurse documents that the client has voided 475 ml during the shift via an indwelling urinary catheter. What type of data has the nurse documented?
Covert
Subjective
Objective
Symptomatic
The Correct Answer is C
A. Covert: Covert data refers to information that is hidden, subjective, or not immediately observable, such as symptoms reported by the client. Voided volume is measurable and observable, so it is not covert.
B. Subjective: Subjective data is information reported by the client, such as feelings, perceptions, or symptoms. Since the urine output is a measurable and observable fact, it is not subjective.
C. Objective: Objective data is factual, measurable, and observable. The voided volume of 475 ml is a precise, quantifiable measurement, making it objective data.
D. Symptomatic: Symptomatic data pertains to symptoms experienced by the client, which are typically subjective. The documented urine output is a specific, quantifiable measurement and not a symptom.
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Related Questions
Correct Answer is A
Explanation
A. Parallel play: Parallel play is typical of toddlers, where they play alongside each other but do not interact or play directly with each other. This is a key stage in social development where they start to notice peers but prefer independent activities.
B. Cooperative play: Cooperative play involves children playing together with a common goal or activity. This type of play is more typical of older preschoolers and school-age children.
C. Solitary play: Solitary play is common in infants and very young toddlers where they play alone and are not engaged with others. By the toddler stage, children often progress to parallel play.
D. Associative play: Associative play involves children interacting and playing together, but not with a structured goal or organization. This typically develops after parallel play, around the preschool age.
Correct Answer is C
Explanation
A. Percussion: Percussion is typically performed before palpation. It helps to detect differences in density of abdominal contents, fluid presence, and gas patterns.
B. Auscultation: Auscultation is performed before any palpation or percussion to prevent altering bowel sounds. It is typically the second step after inspection.
C. Palpation: Palpation is used last during an abdominal assessment to prevent altering the characteristics of bowel sounds and to ensure that any tenderness or abnormal masses are identified after a thorough initial assessment. Palpation can cause changes in bowel sounds and tenderness.
D. Inspection: Inspection is always the first step in any physical examination. It allows for a visual assessment of the abdomen, looking for distension, asymmetry, and skin changes.
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