The nurse is assessing an older adult client at a hospice unit. The client cannot speak or communicate, but the client's daughter is there and answers all the questions as best as she can. What type of data source is the daughter?
Subjective
Tertiary
Secondary
Primary
The Correct Answer is C
A. Subjective: Subjective data refers to information reported by the patient directly, which is not applicable in this case since the client cannot communicate.
B. Tertiary: This term is not commonly used in the context of data sources in health assessments.
C. Secondary: Secondary data is information provided by someone other than the patient, such as a family member or caregiver, which is applicable here since the daughter is providing the information.
D. Primary: Primary data is directly obtained from the patient, not from a secondary source like the daughter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Identify ways to ensure client privacy: Ensuring privacy is essential for a respectful and confidential examination.
B. Turn on relaxing music of the client's choice: While this might improve the client's comfort, it is not a standard or necessary step before conducting a physical examination.
C. Wash hands: Hand hygiene is crucial before any physical examination to prevent infection.
D. Obtain and check needed equipment: Having and checking equipment ensures that all necessary tools are available and in working order for the examination.
E. Dim the lighting to promote comfort: Proper lighting can help in conducting a thorough examination and make the client feel more comfortable.
Correct Answer is ["A","B","D"]
Explanation
A. Blood pressure pattern: Blood pressure patterns are crucial for assessing cardiovascular health as they indicate potential issues like hypertension or hypotension, which are related to heart function.
B. Dyspnea: Dyspnea (difficulty breathing) is important in a cardiovascular assessment as it can be a sign of heart failure or other cardiac conditions affecting respiratory function.
C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide information about heart or vascular health.
D. Peripheral Edema: Peripheral edema (swelling in the limbs) can be a sign of heart failure or other circulatory problems, making it relevant for cardiovascular assessment.
E. Constipation: Although constipation can affect overall health, it is not typically included in a cardiovascular assessment as it does not provide direct information about cardiovascular status.
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