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 B
Explanation
A. Focused: A focused assessment targets specific concerns or symptoms rather than including a complete health history and physical examination.
B. Comprehensive: A comprehensive assessment includes both a detailed health history and a thorough physical assessment, providing a complete picture of the patient’s health.
C. Ongoing: Ongoing assessments are periodic evaluations to monitor changes or progress in a patient’s condition, not necessarily encompassing a full health history and physical examination.
D. Emergency: Emergency assessments are conducted quickly to address immediate life-threatening issues, not to gather a full health history or perform a comprehensive physical exam.
Correct Answer is C
Explanation
A. S4 heart sound: An S4 heart sound is often associated with hypertensive heart disease or left ventricular hypertrophy, rather than congestive heart failure alone.
B. Harsh holosystolic murmur at the apex: This type of murmur is more indicative of mitral regurgitation rather than congestive heart failure.
C. S3 heart sound: An S3 heart sound is commonly associated with congestive heart failure, especially when there is volume overload and decreased left ventricular function.
D. Carotid bruits: Carotid bruits are associated with vascular issues rather than congestive heart failure.
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