A nurse is completing an assessment. Which findings will the ...

[colton]

A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply.)
 
  a. Patient's temperature
  b. Patient's wound appearance
  c. Patient describing excitement about discharge
  d. Patient pacing the floor while awaiting test results
  e. Patient's expression of fear regarding upcoming surgery

Question 2

A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse's initial action in response to these observations?
 
  a. Proceed to the next patient's room to make rounds.
  b. Determine the patient does not want any pain medicine.
  c. Ask the patient about the facial grimacing with movement.
  d. Administer the pain medication ordered for moderate to severe pain.

[LegendaryAnswers]

Answer to Question 1

ANS: C, E
Subjective data include patient's feelings, perceptions, and reported symptoms. Expressing feelings such as excitement or fear is an example of subjective data. Objective data are observations or measurements of a patient's health status. In this question, the appearance of the wound and the patient's temperature are objective data. Pacing is an observable patient behavior and is also considered objective data.

Answer to Question 2

ANS: C
First, the nurse needs to clarify/verify what was observed with what the patient states. Proceeding to the next room is ignoring this visual cue. The nurse cannot assume the patient does not want pain medicine just because he reports a 2 out of 10 on the pain scale. The nurse should not administer medication for moderate to severe pain if it is not necessary.

[colton]

Gracias!

[dantucker]

TYSM