The nurse is assessing a new patient who complains of his chest ...

[ashley]

The nurse is assessing a new patient who complains of his chest feeling tight. The patient displays a temperature of 100 F and an oxygen saturation of 89, and expectorates frothy mucus. Which finding is an example of subjective data?
 
  a. Temperature
  b. Oxygen saturation
  c. Frothy mucus
  d. Chest tightness

Question 2

Although the patient with a kidney stone denies pain, the nurse assesses cues that indicate that pain is perceived. Which assessments indicate that pain may be present? (Select all that apply.)
 
  a. Increased pulse rate
  b. Decreased respiratory rate
  c. Diaphoresis
  d. Muscle tension
  e. Nausea

[memslove]

Answer to Question 1

D
Subjective data is information given by the patient that cannot be measured otherwise. The other data are considered objective data. Objective data are pieces of information that can be measured by the examiner. The nurse should avoid making judgments or conclusions when obtaining data.

Answer to Question 2

A, C, D, E
The respiratory rate increases in patients in acute pain.