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 Do Not Resuscitate (DNR) order is a type of advance directive that specifies that CPR should not be performed if the patient’s heart stops.
Choice B rationale
A trust fund is not a type of advance directive. It is a financial arrangement that does not relate to medical decisions.
Choice C rationale
A durable power of attorney for healthcare is a type of advance directive that allows an individual to appoint someone to make medical decisions on their behalf.
Choice D rationale
A living will is a type of advance directive that outlines an individual’s preferences for medical treatment in certain situations.
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.
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