45. Complete the sentence by selecting from the drop-down lists. A nurse is assessing the gastrointestinal system of a client. The nurse should document
dropdown
as objective data and
dropdown
as subjective data.

Answer and Explanation

The Correct Answer is {"dropdown-group-2":"A","dropdown-group-3":"B"}

• Melena: Melena is an observable finding indicating dark, tarry stools, which the nurse can verify during the physical assessment. As an objective sign, it is measurable and detectable without relying on the client’s personal report. Documenting melena provides concrete evidence of gastrointestinal bleeding or other pathology.

• Stomach pain: Stomach pain is a subjective symptom because it is reported by the client and cannot be directly measured by the nurse. It reflects the client’s personal experience of discomfort and is essential to capture during assessment. Subjective data help guide further evaluation and treatment planning based on the client’s reported experience.

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Correct Answer is ["A","C","D","E"]

Explanation

A. "Have you ever had any surgeries?": Asking about past surgeries provides important health history that may influence current care, indicate risk factors, and guide future interventions. Surgical history is essential for a comprehensive health assessment.

B. "What type of health insurance do you have?": Health insurance information is administrative rather than clinical data. While it is important for billing and access to services, it does not contribute to the client’s medical assessment or care planning.

C. "Have you ever smoked tobacco products?": Inquiring about tobacco use identifies risk factors for cardiovascular, respiratory, and other chronic diseases. This information is relevant to the client’s current health status and preventive care planning.

D. "What illnesses did you have as a child?": Childhood illnesses can have long-term health implications, including immunity status, chronic conditions, or complications that may affect current care. Documenting this helps create a thorough health history.

E. "Have you had any reactions to your medications?": Knowing about previous medication reactions is critical for preventing adverse drug events and ensuring safe prescribing and administration. This information is essential for client safety.

A. Focus the client on how the medical treatment prescribed by the healthcare provider will help their condition. B. Inform the client that hanging the amulet in the hospital is not permitted and remove all other personal effects. C. Find an appropriate place within the client's room to hang the amulet so that it will not interfere with treatment. D. Explain to the client the importance of evidence-based practice and suggest they meet with pastoral care.

Correct Answer is C

Explanation

A. Focus the client on how the medical treatment prescribed by the healthcare provider will help their condition: Emphasizing only medical treatment may dismiss the client’s cultural or spiritual beliefs, potentially damaging rapport and trust. Respecting the client’s values is important for holistic care.

B. Inform the client that hanging the amulet in the hospital is not permitted and remove all other personal effects: Removing personal items without consent is disrespectful and violates the client’s autonomy and right to personal expression. This approach can lead to conflict and decreased satisfaction with care.

C. Find an appropriate place within the client's room to hang the amulet so that it will not interfere with treatment: Accommodating the client’s request while ensuring safety demonstrates cultural sensitivity and respect for autonomy. This approach supports both holistic care and adherence to medical treatment.

D. Explain to the client the importance of evidence-based practice and suggest they meet with pastoral care: While education about evidence-based practice and spiritual support is helpful, it should be done in a supportive, nonjudgmental way. The priority is to respect the client’s beliefs while ensuring safety and treatment efficacy.

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45. Complete the sentence by selecting from the drop-down lists. A nurse is assessing the gastrointestinal system of a client. The nurse should document dropdown as objective data anddropdown as subjective data.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to collect health history data during a client's admission. Which question(s) should the nurse ask? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A client requests to hang an amulet above their bed for protection while in the hospital. The nurse believes that the only thing that will help the client is medical treatment. Which action should the nurse take?

Correct Answer is C

Explanation

The nurse notices that a client is wearing a hearing aid and does not respond to answers promptly. Which action should the nurse take to conduct the interview?

The nurse prepares to leave the room after completing a client assessment. What action(s) should a nurse plan to take to promote safety before leaving a client's room? Select all that apply.

A nurse is completing an assessment. Which should the nurse assess using inspection?

The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

A nurse is assessing the abdomen of a client by using a tapping technique over the client's skin with short, sharp strokes to assess the density of underlying structures. What assessment technique is the nurse using?

The nurse reviews a list of clients and their reasons for seeking care in the emergency department. Based on the listed reason for seeking care, which client should the nurse prioritize?

Which example of documentation is the most accurate representation of assessment data from a SOAP note?

What is the purpose of the general survey?

45. Complete the sentence by selecting from the drop-down lists. A nurse is assessing the gastrointestinal system of a client. The nurse should document
dropdown
as objective data and
dropdown
as subjective data.