The nurse would document which of the following as objective data obtained during a patient assessment?
Report of scalp itching each evening
Loss of hair on bilateral legs
Patient description of pain in an extremity
Complaint of numbness on the right hand,
The Correct Answer is B
Objective data refers to measurable and observable information gathered during a patient assessment, such as physical signs, laboratory values, and other measurable data. In this case, the loss of hair on bilateral legs can be observed and measured, making it an objective finding. Options a, c, and d are all subjective data as they rely on the patient's report or description of their symptoms, which cannot be directly observed or measured.
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Related Questions
Correct Answer is A
Explanation
When assessing the abdomen, the nurse would expect to auscultate bowel sounds, which are the sounds made by the movement of gas and fluid through the intestines. The normal bowel sounds are characterized as high-pitched, gurgling, and occurring at a rate of 5-30 sounds per minute.
Bruits are abnormal sounds indicating turbulent blood flow and are usually assessed in other areas of the body, such as the epigastric and renal arteries, as well as in the aorta.
Friction rubs are also abnormal sounds, but they are typically heard during auscultation of the heart and lungs.
Low-pitched sonorous sounds are not typical sounds that are expected to be heard during an abdominal assessment
Correct Answer is A
Explanation
The role of a registered nurse in a genitalia examination is mainly inspection and palpitation.
During a genitalia examination, the nurse will visually inspect the genital area for any abnormalities, lesions, or signs of infection. This may include examining the external genitalia, such as the vulva or penis, as well as the anus and surrounding area.
The nurse may also palpate, or gently touch, the genital area to check for any tenderness, swelling, or lumps that could indicate a problem. However, auscultation (listening with a stethoscope) and percussion (tapping on the body) are not typically part of a genitalia examination.
It is important to note that a genitalia examination should always be performed in a professional and respectful manner, with clear communication between the nurse and the patient throughout the process.
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