A nurse is documenting in a client's information using the subjective, objective, assessment, and plan (SOAP) charting model.
Which of the following should be included in the subjective data?
Client administered nitroglycerin.
Client reports chest pain after mowing the lawn this morning.
Client's blood pressure is 182/98 mmHg.
Client's skin is pale and diaphoretic.
The Correct Answer is B
Choice A rationale
Client administered nitroglycerin is objective data because it is a documented action performed by the client and can be verified. Subjective data, on the other hand, comes from the client's perspective.
Choice B rationale
Client reports chest pain after mowing the lawn this morning is subjective data because it is a statement made by the client about their experience. It describes their feelings and circumstances as they perceive them.
Choice C rationale
Client's blood pressure is 182/98 mmHg is objective data because it is a measurable physiological parameter obtained through assessment. It is a factual finding that can be directly observed and recorded.
Choice D rationale
Client's skin is pale and diaphoretic is objective data because these are observable physical signs noted by the nurse during assessment. They are factual descriptions of the client's physical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Maintaining a normal respiratory rate (typically 12-20 breaths per minute for adults) and pulse rate (typically 60-100 beats per minute for adults) are general indicators of stable physiological function but do not directly confirm airway clearance. While improved airway clearance can contribute to these stable vital signs, other factors can also influence them.
Choice B rationale
A clear airway directly addresses the nursing diagnosis of ineffective airway clearance. If the patient's airway remains unobstructed, thick sputum can be expectorated or managed, and narrowed airways will not impede airflow. This outcome specifically targets the problem identified in the nursing diagnosis.
Choice C rationale
Resting comfortably by the morning is a desirable outcome reflecting overall well-being, but it is not a direct measure of airway clearance. While improved breathing can contribute to comfort, other factors like pain or anxiety can also affect rest.
Choice D rationale
Absence of shortness of breath (dyspnea) and anxiety suggests improved respiratory function, but it doesn't definitively confirm the airway is clear of thick sputum or that narrowed airways are no longer a problem. The patient could still have airway issues without experiencing these symptoms consistently.
Correct Answer is B
Explanation
Choice A rationale
Producing clinical pathways is an application of informatics, where data and technology are used to standardize care processes for specific conditions. However, this is a specific outcome of informatics rather than the overarching definition of the field itself. Informatics encompasses a broader scope than just the creation of these pathways.
Choice B rationale
Informatics in healthcare is fundamentally about managing knowledge. This involves the acquisition, storage, retrieval, analysis, and dissemination of information to improve decision-making, enhance patient care, and advance healthcare practice. Technology serves as the tool to facilitate this knowledge management.
Choice C rationale
While effective use of informatics tools might indirectly contribute to a more efficient workflow and potentially reduce some stressors, preventing burnout is not the primary definition of informatics. Burnout is a complex issue influenced by various factors beyond information and technology.
Choice D rationale
Providing a safe place to administer care is a fundamental goal of the entire healthcare system, encompassing many aspects beyond informatics. While informatics can contribute to safety through improved communication and access to information, it is not the defining purpose of the field itself.
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