A nurse is documenting data collection findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)
Client reports the rash on their back is itchy
Client reports nausea following administration of pain medication.
Client has a raised, red rash on their upper back.
Client reports dull, aching pain in lower right calf.
Client's oral temperature is 38.4° C (101.2° F).
Correct Answer : A,B,D
A. This entry reflects the client’s personal experience and perception of the rash. It is not measurable and relies on the client’s description.
B. This statement is also based on the client’s experience and feelings about their condition after taking medication. It is a personal report and not an observable finding.
C. This is an observation made by the nurse. The description of the rash is measurable and can be documented as a physical finding.
D. Similar to options A and B, this entry describes the client’s perception of pain. It is a personal
experience that cannot be directly measured.
E. This is a measurable finding obtained through a thermometer. It provides concrete evidence of the
client’s condition and does not rely on the client’s report.
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Related Questions
Correct Answer is D
Explanation
A. Electronic communication carries significant risks of privacy violations, particularly concerning patient confidentiality and data security. Nurses must be aware of these risks and take appropriate measures to protect patient information.
B. Sending prescriptions electronically should always be done using secure, encrypted methods to protect sensitive patient information. Using unencrypted devices poses a risk of interception and privacy violations, so this practice is not acceptable in a healthcare setting.
C. Social media is indeed a form of electronic communication, and it can be used for various purposes, including sharing health information. However, nurses must be cautious about using social media to protect patient privacy and maintain professionalism.
D. Video conference calls are a legitimate form of electronic communication that allows healthcare providers to interact with clients remotely. This method can be especially useful for telehealth services, enabling timely consultations and follow-ups.
Correct Answer is D
Explanation
A. Healthy People 2030 does not specifically focus on monitoring nonmodifiable risk factors (such as genetics or age), but rather emphasizes addressing modifiable risk factors (like lifestyle choices) to improve health outcomes. The framework is more concerned with promoting health and preventing disease rather than just monitoring existing factors.
B. While Healthy People 2030 does build on previous iterations (like Healthy People 2020), it focuses on current data and trends to establish objectives for the next decade. The initiative uses the most recent and relevant data to inform its goals rather than being limited to data from the past 20 years.
C. This statement is not a primary focus of Healthy People 2030. While global health is important, the framework is primarily concerned with health objectives and outcomes within the United States, addressing specific health issues rather than conducting global virus surveillance.
D. One of the main goals of Healthy People 2030 is to establish specific, measurable health objectives aimed at improving the health and well-being of Americans. The framework sets targets for various health indicators to guide public health efforts and policy-making.
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