During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?
vomiting
Auscultation of heart murmur
Client's complaint of nausea
Blood pressure reading
The Correct Answer is C
A. Vomiting: Vomiting is objective data because it can be observed and measured by the nurse.
B. Auscultation of heart murmur: This is objective data obtained through physical examination techniques.
C. Client's complaint of nausea: Subjective data is information reported by the client about their experience, feelings, or symptoms, which cannot be directly observed by others.
D. Blood pressure reading: This is objective data obtained through measurement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction: Discharge instructions require comprehensive teaching and assessment, which are more appropriate for an RN.
B. A newly admitted patient with a seizure disorder: This patient requires thorough assessment and development of a care plan, which is best managed by an RN.
C. A 40-year-old female 1-day post hysterectomy: This patient is in a relatively stable condition and requires routine postoperative care, which is within the scope of practice for an LPN.
D. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions: This patient is unstable and requires close monitoring and frequent reassessment, which are responsibilities for an RN.
Correct Answer is C
Explanation
A. Show the client a video of proper crutch walking: Showing a video is part of the implementation step, not the planning step.
B. Assess the client's readiness to learn: Assessing readiness to learn is part of the assessment step, not the planning step.
C. Develop short-term goals for the client in the teaching plan: Developing short-term goals is a key part of the planning step in a teaching plan.
D. Ask the client to demonstrate walking with the crutches: Asking for a demonstration is part of the evaluation step, not the planning step.
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