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 A
Explanation
Choice A rationale
Confidentiality refers to the ethical and legal duty of healthcare providers to protect patients’ personal health information. Posting a photo of a patient without their consent is a clear violation of confidentiality, as it involves disclosing identifiable information without authorization. This breach can lead to loss of trust, legal consequences, and harm to the patient’s privacy.
Choice B rationale
Autonomy refers to the patient’s right to make informed decisions about their own healthcare. While posting a photo without consent does not directly violate the principle of autonomy, it undermines the patient’s control over their personal information. However, the primary principle violated in this scenario is confidentiality.
Choice C rationale
Beneficence involves acting in the best interest of the patient and promoting their well-being. Posting a photo without consent does not align with this principle, as it can cause harm to the patient by compromising their privacy and potentially leading to emotional distress. However, the main principle violated is confidentiality.
Choice D rationale
Veracity refers to the obligation to tell the truth and provide accurate information. While posting a photo without consent does not directly relate to veracity, it can erode trust between the patient and healthcare provider. The primary principle violated in this case is confidentiality.
Correct Answer is B
Explanation
Choice A rationale
Assessing the client’s readiness for learning is important, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the task correctly to manage their condition effectively.
Choice B rationale
Asking the client to demonstrate the injection technique is the correct answer. This action ensures that the client has understood the instructions and can perform the task correctly, which is crucial for their safety and effective management of their diabetes.
Choice C rationale
Showing the client how to draw up the insulin in a syringe is an important step in the teaching process, but it is not the priority action. The priority is to ensure the client can perform the injection technique correctly.
Choice D rationale
Developing short-term goals for the client in the teaching plan is important for overall education and management, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the injection technique correctly.
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