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.
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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Related Questions
Correct Answer is B
Explanation
A. The NLC allows nurses to practice in multiple states with one license, eliminating the need for separate licenses.
B. The primary purpose of the NLC is to allow nurses to practice in multiple states without obtaining additional licenses.
C. The NLC simplifies the process by allowing nurses to practice with one license in multiple states.
D. Continuing education requirements are generally determined by the nurse's home state, not by the NLC.
Correct Answer is D
Explanation
A. Educators typically disseminate knowledge to others, but they don't necessarily collect data to generate new knowledge.
B. Advocates primarily support and defend the rights or interests of others. While this can involve data collection, it's not the primary focus in this scenario.
C. Mentors provide guidance and support to individuals, but they are not typically involved in research or data collection.
D. Researchers systematically collect and analyze data to answer questions and contribute to knowledge. In this case, the nurse is conducting research to determine the best practices for reducing pressure injuries.
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