A nurse is collecting data from a client who is postoperative. Which of the following findings should the nurse identify as objective data?(Select All that Apply.)
The client is reporting nausea.
The client's urine output has been 150 mL over the past 3 hr.
The client states they are experiencing "extreme pain".
The client's current blood pressure is below their preoperative reading.
The client's right calf is swollen and warm to the touch.
Correct Answer : B,D,E
A. It reflects the client’s personal feelings and experiences regarding their condition. Since it is based on
the client's report rather than measurable findings, it does not qualify as objective data.
B. It provides measurable information about the client's urine output, which can be quantified and observed by the nurse. Objective data is factual and can be verified by anyone observing the situation.
C. Like the nausea report, this statement is based on the client’s personal experience and perception of
pain. It cannot be measured objectively, making it subjective.
D. Blood pressure readings are measurable and can be objectively compared to preoperative values. This information provides concrete data regarding the client's current condition.
E. The observations of swelling and warmth can be directly assessed and are factual findings that can be confirmed by the nurse during the physical examination.
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Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Diversity, which emphasizes the importance of inclusivity and respect for the varied backgrounds and perspectives within the nursing community.
B. Professionalism is another key value, highlighting the need for integrity, responsibility, and excellence in the nursing profession.
C. Advocacy is also central to the NSNA's ethical framework, as it involves working on behalf of others to promote health and well-being.
D. While Safety is a crucial aspect of nursing practice, it is not explicitly listed as part of the NSNA's core values according to the information available.
E. Quality Education is recognized as a fundamental value, ensuring that student nurses receive the knowledge and training necessary to provide high-quality care.
F. While confidentiality is a crucial aspect of nursing practice, it is not explicitly listed as part of the NSNA's core values according to the information available.
Correct Answer is B
Explanation
A. Quality improvement focuses on the processes and systems within healthcare that enhance patient outcomes and improve care delivery. While the nurse's actions contribute to overall quality of care, this specific scenario does not directly relate to improving a process or system.
B. The nurse is demonstrating the competency of safety by ensuring the client’s bed is locked (preventing falls) and the call light is within reach (allowing the client to request help easily). These actions directly enhance the client's safety and prevent potential harm.
C. Teamwork and collaboration involve working effectively with other healthcare professionals to provide optimal care. While collaboration is essential in nursing, the actions described do not specifically pertain to working with other team members.
D. Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. While ensuring the call light is within reach aligns with the principles of patient-centered care, the primary focus of the nurse’s actions is on safety.
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