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","C","E"]

Explanation

A. Administering blood to a client. Administering blood typically requires an RN due to the need for close monitoring and potential complications.
B. Re-enforces teaching to a diabetic client. LPNs can reinforce teaching that was initially provided by an RN.
C. Administering medications to the RN's other clients. LPNs are qualified to administer medications.
D. Completing an initial assessment on a new admission. Initial assessments must be completed by an RN
E. Changing a sterile dressing on a client. LPNs can perform sterile dressing changes.

A. Reinforcing teaching with a patient who is learning to walk with a quad cane B. A new admission to the unit complaining of chest pain C. Inserting an NGT for a client who is unable to eat D. Calculating intake and output for the unit

Correct Answer is B

Explanation

A. Reinforcing teaching with a patient who is learning to walk with a quad cane: Reinforcing teaching can be done by an LVN, as it involves stable, predictable outcomes.
B. A new admission to the unit complaining of chest pain: A new admission with chest pain requires a comprehensive assessment and potential critical thinking and intervention, which are within the scope of an RN.
C. Inserting an NGT for a client who is unable to eat: Inserting an NGT can be done by an RN or LVN, but it does not require the comprehensive assessment and critical thinking that managing a new admission with chest pain does.
D. Calculating intake and output for the unit: Calculating intake and output is a task that can be delegated to a UAP.

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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

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of client care? Select three items

Correct Answer is ["B","C","E"]

Explanation

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

Correct Answer is B

Explanation

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

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