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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
The correct answers are Choices B, C, and D.
Correct Answer is A
Explanation
Choice A rationale
Report the incident to the organization. According to HIPAA, the first step a healthcare provider should take after an accidental disclosure of patient information is to report the incident to the organization. This allows the organization to assess the breach, determine the extent of the disclosure, and take appropriate actions to mitigate any potential harm.
Choice B rationale
Inform the patient about the breach. While informing the patient is important, it is not the first step. The organization must first assess the breach and determine the appropriate course of action before notifying the patient.
Choice C rationale
Ask the unauthorized personnel to delete the information. This step may be part of the mitigation process, but it is not the first step. The incident must first be reported to the organization for proper assessment and documentation.
Choice D rationale
Ignore the incident unless someone reports it. This response is inappropriate and violates HIPAA regulations. All breaches must be reported and addressed promptly to ensure compliance with HIPAA and protect patient privacy.
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