During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

vomiting

Auscultation of heart murmur

Client's complaint of nausea

Blood pressure reading

Answer and Explanation

The Correct Answer is C

A. Vomiting: Vomiting is objective data because it can be observed and measured by the nurse.
B. Auscultation of heart murmur: This is objective data obtained through physical examination techniques.
C. Client's complaint of nausea: Subjective data is information reported by the client about their experience, feelings, or symptoms, which cannot be directly observed by others.
D. Blood pressure reading: This is objective data obtained through measurement.

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Correct Answer is B

Explanation

A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.

A. The client states that she will be staying with her daughter after discharge. B. Client states she is having pain. C. The client states she uses a pill container to divide her daily meditation. D. The client states her pharmacy also provides information on the medication.

Correct Answer is B

Explanation

A. The client states that she will be staying with her daughter after discharge: Staying with her daughter could potentially be a support system, not a barrier to learning.
B. Client states she is having pain: Pain can significantly impair a client's ability to focus and understand new information, making it a potential barrier to learning.
C. The client states she uses a pill container to divide her daily medication: Using a pill container indicates that the client has a system in place for managing medications and is not a barrier to learning.
D. The client states her pharmacy also provides information on the medication: Having access to additional information from the pharmacy is an aid to learning, not a barrier.

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During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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