A patient is nauseated and vomited. She has a red rash on the face and neck, which she says is itchy. She complains of a headache and feels very irritable. Which piece of data is objective?
itching
headache
rash
nausea
The Correct Answer is C
A. itching:
This is a subjective symptom. Itching is a feeling experienced by the patient and cannot be directly observed by the nurse. The patient's report of itching is subjective until the nurse observes any visible signs of scratching or a rash.
B. headache:
Similar to itching, a headache is a subjective symptom. It is a feeling experienced by the patient and cannot be directly observed by others. The patient's report of a headache is subjective until the nurse observes signs such as the patient holding their head or wincing in pain.
C. rash:
In the given context, a red rash on the face and neck is objective data. Objective data refers to measurable and observable information about a patient's condition. In this case, the nurse can directly observe the rash, making it objective. Objective data is factual and can be verified by others.
D. nausea:
Nausea is also a subjective symptom. It is a feeling experienced by the patient and cannot be directly observed by others. The patient's report of nausea is subjective until the nurse observes signs such as the patient looking pale, sweating, or exhibiting other physical symptoms associated with nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Use open-ended questions:
Open-ended questions are typically avoided when communicating with aphasic patients. These questions require more complex responses, which might be difficult for someone with language impairments.
B. Not assume that the patient can understand what is heard:
This is a prudent approach. Assuming comprehension without confirmation can lead to misunderstandings. It's better to confirm understanding through non-verbal cues or other communication methods.
C. Talk to the family instead:
While involving family members is important, it doesn't replace direct communication with the patient. The nurse should attempt to communicate directly with the patient, using appropriate techniques.
D. Ask one question at a time:
This is the most suitable option. Asking one question at a time allows the patient to focus on a specific topic and respond more effectively, especially if they have difficulty processing complex information.
Correct Answer is B
Explanation
A. History taking: This refers to the process of gathering information about a patient's medical history, including their symptoms, past illnesses, medications, and family history. It involves asking questions and actively listening to the patient's responses.
B. Palpation of an area: Palpation involves using the hands to feel the body's surface, usually to assess the texture, size, consistency, and location of certain organs or structures. For example, a healthcare provider might palpate the abdomen to feel for any abnormalities or tenderness.
C. Communication: Communication is a broad term that encompasses various aspects of interacting with a patient, including asking questions, active listening, providing explanations, and expressing empathy. Effective communication is crucial for building trust, understanding the patient's concerns, and delivering appropriate care.
D. Weighing of a patient: Weighing a patient is a specific measurement and is not a technique used for a physical examination. However, a patient's weight can be an essential piece of information in understanding their overall health and can be considered during the assessment process.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.