To what does objective data refer when assessing a patient?

the provider's observed data

All of the answers are correct

the patient's perception of provided data

the patient's request for information

Answer and Explanation

The Correct Answer is A

A. The provider’s observed data: Objective data includes what the nurse or provider directly observes and measures, such as vital signs, lab results, and physical exam findings.

B. All of the answers are correct: Only option A is correct because C and D do not define objective data.

C. The patient’s perception of provided data: The patient’s perception is subjective data, not objective.

D. The patient’s request for information: A request for information is neither assessment data nor an objective finding.

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Correct Answer is D

Explanation

A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.

B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.

C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.

D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.

A. signs of fluid overload B. symptoms C. data clustering D. urinary retention

Correct Answer is C

Explanation

A. Signs of fluid overload: Fluid overload presents with edema, crackles in lungs, and increased blood pressure, not dry skin and mucous membranes.

B. Symptoms: Symptoms are subjective (e.g., pain, nausea), while the given findings are observable signs.

C. Data clustering: The nurse groups related signs (flushed skin, dry mucous membranes, elevated temperature) to identify a pattern suggesting dehydration or fever.

D. Urinary retention: Urinary retention is associated with bladder distention and reduced urine output, not dry skin and mucous membranes.

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To what does objective data refer when assessing a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On what form/forms should the nurse chart when administering a narcotic?

Correct Answer is D

Explanation

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

Correct Answer is C

Explanation

The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

What is the major concern when using a computer for documentation?

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

Patient health care records are:

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

The primary source of assessment information is:

The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal deposition regarding charges of professional malpractice, it was determined that: