The nurse is performing a nutritional assessment. Which of the following would be considered objective data?
Dietary history from patient
Patient complaint of weight loss
Body Mass Index (BMI)
Patient history of alcohol intake
The Correct Answer is C
Objective data are measurable and observable findings that can be obtained through physical examination, laboratory tests, or other diagnostic procedures.
Option A is subjective data because it is information reported by the patient and may not be entirely accurate. Option B is also subjective data because it is the patient's perception of their weight loss, which may not be an accurate reflection of actual weight loss.
Option D is also subjective data because it relies on the patient's self-report of their alcohol intake, which may not be entirely accurate.
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Related Questions
Correct Answer is B
Explanation
The nurse will document the patient's chest pains that move down her left arm as radiating pain. Radiating pain is a type of pain that starts at a specific point and spreads outwards to other areas of the body. In this case, the pain starts in the chest and moves down the left arm, which is a common symptom of cardiac or heart-related issues. Phantom pain is a type of pain that is perceived to be present in a body part that has been amputated or lost. Referred pain is pain that is felt in a different part of the body from where the actual problem is located. Somatic pain is pain that arises from the skin, muscles, bones, or connective tissues.
Correct Answer is D
Explanation
This response demonstrates respect for the client's religious beliefs and a willingness to work with the client to meet their needs. It also opens up a dialogue between the nurse and the client to develop a plan of care that is consistent with the client's beliefs and values.
Option a, "Fasting is harmful to your body," is not an appropriate response as it does not respect the client's religious beliefs and may be perceived as insensitive or disrespectful.
Option b, "You must have food during times of illness," may be accurate in some situations, but it is not relevant to the client's request to fast during Ramadan.
Option c, "I will let your healthcare provider know that you need to be discharged," is not an appropriate response as it does not address the client's request to fast during Ramadan and may be perceived as dismissive or unhelpful.
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