A nurse is completing a client’s assessment.
Which of the following should the nurse consider as objective data?

Fatigue.

Dizziness.

Numbness.

Physical examination results.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Fatigue is a subjective symptom reported by the client. It is based on the client’s personal experience and cannot be objectively measured or observed by the nurse. Therefore, it is not considered objective data.
Choice B rationale
Dizziness is also a subjective symptom reported by the client. It reflects the client’s personal experience and cannot be directly observed or measured by the nurse. As such, it is not considered objective data.
Choice C rationale
Numbness is another subjective symptom reported by the client. It is based on the client’s personal sensation and cannot be objectively measured or observed by the nurse. Therefore, it is not considered objective data.
Choice D rationale
Physical examination results are objective data. They are obtained through direct observation, measurement, and assessment by the nurse. Examples of objective data include vital signs, physical examination findings, and laboratory results. These data are reproducible and can be verified by other healthcare professionals.

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Correct Answer is C

Explanation

Choice A rationale
Speaking loudly can be counterproductive as it may distort the sound and make it harder for the client to understand. Using hand gestures can be helpful, but it should be combined with clear, simple sentences.
Choice B rationale
Standing with the light behind you can create shadows on your face, making it difficult for the client to read your lips. It is better to face the client directly with good lighting on your face.
Choice C rationale
Using short, simple sentences is effective for communicating with clients who are hard of hearing. It helps ensure that the client can understand the information being conveyed.
Choice D rationale
Avoiding the use of written communication is not advisable. Written communication can be a helpful tool for clients who are hard of hearing, as it provides a visual aid to support verbal communication.

A. Placing all beds in the high position. B. Using color-coded wristbands. C. Conducting frequent rounds of patient rooms. D. Providing non-skid socks.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale
Placing all beds in the high position increases the risk of injury if a patient falls out of bed. It is generally recommended to keep beds in the lowest position to minimize the distance a patient would fall, thereby reducing the risk of injury.

Choice B rationale
Using color-coded wristbands is an effective way to quickly communicate a patient’s fall risk status to all healthcare providers. This visual cue helps ensure that all staff members are aware of the patient’s fall risk and can take appropriate precautions.
Choice C rationale
Conducting frequent rounds of patient rooms allows healthcare providers to regularly check on patients, address their needs, and identify any potential fall hazards. This proactive approach helps in preventing falls by ensuring that patients are safe and their environment is free of obstacles.
Choice D rationale
Providing non-skid socks helps prevent slips and falls by giving patients better traction when walking. These socks are especially useful for patients who may be unsteady on their feet or are at a higher risk of falling.

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A nurse is completing a client’s assessment. Which of the following should the nurse consider as objective data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is hard of hearing. What action should the nurse take?

Correct Answer is C

Explanation

The Quality Improvement Team is putting a ‘Fall Risk’ sign on patient doors, providing non-skid socks, conducting frequent rounds of patient rooms, and using color-coded wristbands. Which of the following actions will apply?

Correct Answer is ["B","C","D"]

Explanation

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A nurse is completing a client’s assessment.
Which of the following should the nurse consider as objective data?