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. This is not a time management strategy but rather a counterproductive approach that can lead to burnout and decreased focus.
B. This is an effective time management strategy as it acknowledges the reality of interruptions in a healthcare setting. By anticipating and planning for disruptions, nurses can better manage their workload and avoid feeling overwhelmed.
C. While helping colleagues is important, offering to complete another nurse's task without considering one's own workload can lead to time management issues.
D. This can be a time management strategy in some situations, but it's not always the most effective approach. Prioritizing tasks based on urgency and importance is often more beneficial.
Correct Answer is B
Explanation
A. This type of leader has a hands-off approach and provides minimal guidance or direction.
B. These leaders inspire and motivate followers to achieve extraordinary outcomes. They focus on building relationships, fostering creativity, and encouraging individual and team growth. This often involves identifying shared values to create a sense of purpose and unity.
C. This leader focuses on the exchange of rewards for performance and often uses corrective action for errors.
D. This leader relies heavily on policies and procedures to direct work and relationships.
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