Which assessment finding is considered primary objective information?.
The patient reports a sore throat after taking his regular medications.
The patient's daughter states her father often forgets to take his medication.
The patient states he feels dizzy whenever he takes his medication.
The patient states that his temperature has been 88.8F.
The Correct Answer is D
Choice A rationale:
The patient reporting a sore throat after taking his regular medications is subjective information because it is based on the patient’s personal experience and feelings.
Choice B rationale:
The patient’s daughter stating her father often forgets to take his medication is also subjective information as it is based on the daughter’s observations and perceptions.
Choice C rationale:
The patient stating he feels dizzy whenever he takes his medication is subjective information because it is based on the patient’s personal experience and feelings.
Choice D rationale:
The patient stating that his temperature has been 88.8F is objective information because it is a measurable fact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Administering a medication to a patient is a Dependent nursing action because it requires a doctor’s order.
Choice B rationale:
Interdependent actions are those performed jointly with other healthcare team members, which is not the case here.
Choice C rationale:
Collaborative actions involve working closely with other healthcare professionals, but administering medication is typically a nurse’s responsibility.
Choice D rationale:
Independent nursing actions are those a nurse can take without a physician’s order, which doesn’t apply to medication administration.
Correct Answer is B
Explanation
Choice A rationale:
An increase in the amount of lipid-soluble drugs in the system can occur with decreased albumin and globulin levels, but it does not cause the most concern.
Choice B rationale:
Increased free protein-bound drugs available can lead to an increased potential for adverse drug reactions. This is because these drugs are usually more active and can lead to toxicity.
Choice C rationale:
Water-soluble drugs being absorbed more completely is not typically a concern with decreased albumin and globulin levels.
Choice D rationale:
While metabolism of protein-bound drugs may be decreased, leading to an increased potential for adverse reactions, this is not the primary concern with decreased albumin and globulin levels.
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