The nurse is collecting data about a client's current health ...

[xclash]

The nurse is collecting data about a client's current health status. Which statement would assist in gathering subjective data about the client?
 
  A) Your eyelid is red and swollen.
  B) Your skin appears to be dry and irritated.
  C) I see that you have bruises on your legs.
  D) Tell me why you have difficulty sleeping.

Question 2

A goal of care for a client with congestive heart failure (CHF) is for serum sodium levels to be within normal limits. Which information documented in the medical record would indicate that the client is not meeting this goal?
 
  A) The client is experiencing dependent edema.
  B) The client experiences joint pain.
  C) The client is constipated.
  D) The client is experiencing wheezing respirations.

[fwbard]

Answer to Question 1

Answer: D

Subjective data is information that the client gives the nurse regarding feelings or happenings. Asking the client to explain why there is difficulty with sleeping will encourage the client to give a subjective response, such as that the client recently broke up with her boyfriend and is depressed. Noting that the client has bruises on the skin is an objective observation by the nurse and does not require a response from the client. Noting that the client has dry, irritated skin is an objective observation by the nurse and does not require a response from the client. Noting that the client has a red, swollen eyelid is an objective observation by the nurse and does not require a response from the client.

Answer to Question 2

Answer: A

Communication is crucial in the medical field. The nurse who is taking over the client's care would note the goals of the current plan of care and would view the assessment to determine the reason for the nursing diagnosis and goals in order to be able to evaluate if goals have been met. Edema can be a result of a high sodium level. The nurse reviews the assessment to look for the reason the goal was set. Joint pain would be relevant for a different goal. Constipation would not be related to a high sodium level. Wheezing would be addressed by a different goal for the client.

[xclash]

Thank you

[fwbard]

Happy to help you