Which of the following data regarding a client with a diagnosis ...

[sarasara]

Which of the following data regarding a client with a diagnosis of colon cancer are subjective? Select all that apply.
 
  A) The client's chemotherapy causes him nausea and loss of appetite.
  B) The client became teary when his daughter from out of state came to the bedside.
  C) The client's ileostomy put out 125 mL of effluent in the past four hours.
  D) The patient is unwilling to manipulate or empty his ostomy bag.
  E) The patient has been experiencing fatigue in recent weeks.

Question 2

A nurse performing triage in an emergency room makes assessments of clients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply.
 
  A) Carrying out a physician's order to intubate a client
  B) Educating a novice nurse on the principles of triage
  C) Using the nursing process to diagnose a blocked airway
  D) Interviewing privately a client suspected of being a victim of abuse
  E) Checking with the family about the data supplied by a client suffering from dementia

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Answer to Question 1

Ans: A, E

Reports of nausea, anorexia, and fatigue are subjective data that depend on the client's self-report. Weeping, ostomy output, and an inability to perform a kinesthetic task are observable assessment findings that would be characterized as objective.

Answer to Question 2

Ans: C, D, E

Since the entire nursing process rests on the initial and ongoing assessment of the client, it is imperative to use excellent critical thinking skills when gathering, validating, analyzing, and communicating data. The nurse using critical thinking skills assesses information systematically using the nursing process, detects biases, makes judgments about the significance of data, and identifies assumptions and inconsistencies. Carrying out physician's orders and educating a novice nurse involve the implementation stage of the nursing process.