During a health assessment, a client complains of palpitations. Which of the following is subjective data?
Vomiting.
Blood pressure reading.
Auscultation of heart murmur.
Client’s complaint of palpitations.
The Correct Answer is D
Choice A rationale
Vomiting is objective data as it can be observed and measured by the nurse.
Choice B rationale
Blood pressure reading is objective data as it is a measurable and observable finding.
Choice C rationale
Auscultation of heart murmur is objective data as it is an observable finding during a physical examination.
Choice D rationale
Client’s complaint of palpitations is subjective data as it is based on the client’s personal experience and cannot be directly observed or measured by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.
Correct Answer is C
Explanation
Choice A rationale
Assault refers to the threat of harm or unwanted physical contact, not the actual administration of medication. In this case, the nurse’s action resulted in actual harm, which is more aligned with negligence.
Choice B rationale
Battery involves intentional physical contact without consent, such as forcibly administering medication. However, this scenario involves an error rather than intentional harm, making negligence a more appropriate term.
Choice C rationale
Negligence occurs when a healthcare provider fails to meet the standard of care, resulting in harm to the patient. Administering the wrong medication is a clear example of negligence, as it demonstrates a failure to follow proper procedures and protocols.
Choice D rationale
Invasion of privacy involves the unauthorized disclosure of personal information, which is not relevant to the scenario of administering the wrong medication.
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