Nokea
What subjective data does the nurse record following a head-to-toe examination?
- A. Rash on back
- B. Prolonged nausea
- C. Blood pressure of 190/100
- D. White blood cell count of 19000
Correct Answer: B
Rationale: Another term for subjective data is symptoms, which cannot be observed or measured. This data must come from the patient.
You may also like to solve these questions
During an admission assessment the nurse collects objective and subjective data. What is an example of subjective data?
- A. The patient complains of nausea.
- B. The patient is vomiting.
- C. The patient experiences tachycardia.
- D. The patient is pacing the halls.
Correct Answer: A
Rationale: Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Complaining of nausea is an example of subjective data. All other options are examples of objective data.
What is an important consideration when developing the care plan?
- A. Ensure the number of interventions is limited.
- B. Ensure the patient is involved in the process.
- C. Ensure interventions will be easy to implement.
- D. Ensure evaluation of the patient problems is possible.
Correct Answer: B
Rationale: Plans are more effective when the patient is involved in the process. The care plan is not limited in terms of the number of interventions, nor do they have to be easy. The patient problems are not evaluated; the patient's progress toward the outcome is.
During an admission assessment the nurse collects objective and subjective data. What is an example of objective data?
- A. The patient is jaundiced.
- B. The patient states "I am nervous."
- C. The patient complains of palpitations.
- D. The patient denies dizziness when ambulating.
Correct Answer: A
Rationale: Objective data are observable and measurable signs. Objective data can be recorded. A camera can record a rash, a skin lesion, or puffy eyes. A tape recorder can give evidence of crying or slurred speech. A thermometer can record a temperature elevation. Other terms for objective data are signs and objective cues. The patient is jaundiced is an example of objective data. All other options are examples of subjective data.
Which are official categories of patient problems?
- A. Actual
- B. Risk
- C. Wellness
- D. Syndrome
- E. Potential
Correct Answer: A,B,C,D
Rationale: Actual, risk, wellness, and syndrome are the four categories of patient problems.
A multidisciplinary plan that schedules clinical ____ over an anticipated time frame for high-risk high-volume and high-cost types of cases is known as a critical pathway.
Correct Answer: interventions
Rationale: A critical pathway is a multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-volume, and high-cost types of cases.