A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data?

(Select All that Apply.)

The client's current blood pressure is below their preoperative reading.

The client's right calf is swollen and warm to the touch.

The client is reporting nausea.

The client states they are experiencing "extreme pain".

The client's urine output has been 150 mL over the past 3 hr.

Answer and Explanation

Correct Answer : A,B,E

A.   Blood pressure is a measurable physiological parameter that can be accurately recorded by the nurse using a sphygmomanometer. It provides concrete evidence of the client’s current condition compared to their preoperative baseline.
B.   The swelling and warmth of the calf are observable and measurable physical signs that the nurse can assess through physical examination. These findings can be documented and evaluated independently of the client's personal feelings or reports.
C.   Nausea is a symptom experienced and reported by the client. It cannot be directly measured or observed by the nurse but rather is based on the client's personal sensations and experiences.
D.   Pain is a personal experience and is reported by the client. The description of pain, including its intensity and quality, is based on the client's own perception and cannot be directly measured by the nurse.
E.   Urine output is a quantifiable measurement that can be recorded and assessed by the nurse. It
provides concrete information about the client’s fluid balance and renal function over a specific period.

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Correct Answer is D

Explanation

A. While it might seem like a hands-off approach, allowing the conflict to escalate without intervention can lead to further problems, affecting patient care and team morale.
B. This approach is likely to escalate the situation and is not constructive for conflict resolution. It's important to address the issue professionally and respectfully.
C. While reporting the issue might be necessary if the conflict escalates or impacts patient care, it's not the initial step. Addressing the issue directly can often resolve the conflict without involving higher management.
D. This is the most appropriate action. By addressing the issue directly, the nurse can help the APs understand each other's perspectives, find a solution, and prevent similar conflicts in the future.

A. Expects staff to solve problems on their own B. Gives staff freedom to make decisions C. Strictly enforces rules to maintain compliance D. Uses rewards or punishments to encourage compliance E. is responsible for the decisions made by staff members

Correct Answer is ["A","B"]

Explanation

A. This is a characteristic of laissez-faire leaders. They tend to allow staff members to handle problems and make decisions independently without direct intervention or guidance. This style is characterized by minimal supervision and a high degree of autonomy for team members.
B. This is also a characteristic of laissez-faire leaders. By giving staff the freedom to make decisions, laissez-faire leaders empower their team members to take charge of their own work and decision- making processes. This approach is based on trust and a belief in the competence of the staff.
C. This is not a characteristic of laissez-faire leadership. Strict enforcement of rules is more aligned with a bureaucratic or authoritarian leadership style, where leaders impose and uphold strict guidelines and standards to ensure compliance. Laissez-faire leaders, in contrast, provide less oversight and are not focused on strict rule enforcement.
D. This is not a characteristic of laissez-faire leaders. Using rewards or punishments to encourage compliance is more characteristic of transactional leadership. Laissez-faire leaders typically avoid actively managing or intervening in the work of their staff, focusing instead on providing autonomy rather than using incentives or disciplinary actions to manage performance.
E. This is not a characteristic of laissez-faire leaders. While laissez-faire leaders give staff members the freedom to make decisions, they are often not involved in or responsible for the outcomes of those decisions. This leadership style involves delegating responsibility to team members and allowing them to manage their own work, which includes being accountable for their decisions.

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A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data? (Select All that Apply.)

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A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data?

(Select All that Apply.)