The nurse is performing a nutritional assessment. Which of the following would be considered objective data?
Dietary history from patient
Patient complaint of weight loss
Body Mass Index (BMI)
Patient history of alcohol intake
The Correct Answer is C
Objective data are measurable and observable findings that can be obtained through physical examination, laboratory tests, or other diagnostic procedures.
Option A is subjective data because it is information reported by the patient and may not be entirely accurate. Option B is also subjective data because it is the patient's perception of their weight loss, which may not be an accurate reflection of actual weight loss.
Option D is also subjective data because it relies on the patient's self-report of their alcohol intake, which may not be entirely accurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips. Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.
Correct Answer is ["B","E"]
Explanation
A. Dilated pupils in response to dimmed lights are a normal response and not an indication of a
vision problem.
B. Pupils that remain dilated during an accommodation test indicate that the client may have an
issue with their autonomic nervous system and is not able to adjust their pupil size appropriately.
C. Far vision acuity of 20/20 bilaterally indicates normal vision.
D. A symmetrical pupillary light reflex response is a normal finding and not an indication of a vision
problem.
E. Frowning and squinting while reading the Snellen chart may indicate that the client is having difficulty seeing the letters clearly and may have a vision problem.
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