Nursing roles in Patient assessment and documentation
Nursing roles in Patient assessment and documentation ( 6 Questions)
A nurse is documenting the findings of a head-to-toe assessment on a client who has been hospitalized for pneumonia.
Which statement by the nurse reflects the appropriate use of objective data?
This is an example of subjective data, which are information that only the client can perceive and describe, such as feelings, sensations, and beliefs.
Objective data are observable and measurable facts that can be verified by the nurse or another health care provider. Crackles are an abnormal lung sound that can be heard with a stethoscope and indicate fluid accumulation in the alveoli.
This is also an example of subjective data, as it is based on the client's verbal report.
This is another example of subjective data, as pain is a personal experience that cannot be directly measured by the nurse.
"The client has crackles in the lower lobes bilaterally."
Rationale: Objective data are observable and measurable facts that can be verified by the nurse or another health care provider. Crackles are an abnormal lung sound that can be heard with a stethoscope and indicate fluid accumulation in the alveoli.
Incorrect options:
A) "The client reports feeling short of breath and fatigued." - This is an example of subjective data, which are information that only the client can perceive and describe, such as feelings, sensations, and beliefs.
C) "The client states that he has been coughing up green sputum." - This is also an example of subjective data, as it is based on the client's verbal report.
D) "The client rates his pain as 4 out of 10 on a numeric scale." - This is another example of subjective data, as pain is a personal experience that cannot be directly measured by the nurse.