During a health assessment, a client complains of palpitations. Which of the following is subjective data?
Vomiting.
Blood pressure reading.
Auscultation of heart murmur.
Client’s complaint of palpitations.
The Correct Answer is D
Choice A rationale
Vomiting is objective data as it can be observed and measured by the nurse.
Choice B rationale
Blood pressure reading is objective data as it is a measurable and observable finding.
Choice C rationale
Auscultation of heart murmur is objective data as it is an observable finding during a physical examination.
Choice D rationale
Client’s complaint of palpitations is subjective data as it is based on the client’s personal experience and cannot be directly observed or measured by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A respiratory therapist is not typically required to assist a stroke client with dysphagia. Their expertise is more focused on respiratory issues rather than swallowing difficulties.
Choice B rationale
A speech therapist is the correct team member to assist a stroke client with dysphagia. Speech therapists specialize in diagnosing and treating swallowing disorders, which are common in stroke patients.
Choice C rationale
A physical therapist focuses on improving a client’s physical mobility and strength. While they play a crucial role in stroke rehabilitation, they are not specifically trained to address dysphagia.
Choice D rationale
A pharmacist’s role is to manage and dispense medications. They do not have the specialized training required to assist with dysphagia.
Correct Answer is A
Explanation
Choice A rationale
“I can see this is very difficult for you.”. This response is appropriate as it acknowledges the client’s emotions and provides validation. It demonstrates empathy and encourages the client to express their feelings, which is essential in therapeutic communication.
Choice B rationale
“Please don’t cry, it’s not good for you.”. This response is inappropriate as it dismisses the client’s emotions and may make them feel invalidated. Crying is a natural response to emotional distress, and the nurse should support the client in expressing their feelings.
Choice C rationale
“Why are you crying?” This response is also inappropriate as it may come across as judgmental or dismissive. It does not provide the support and empathy the client needs during a difficult moment.
Choice D rationale
“Let’s move on to a different topic to distract you.”. This response is not appropriate as it avoids addressing the client’s emotions and may make the client feel that their feelings are not important. The nurse should focus on supporting the client through their emotional experience.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
