Author Question: The nurse is collecting data about a client's current health status. Which statement would assist in ... (Read 192 times)

xclash

  • Hero Member
  • *****
  • Posts: 681
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

  • Sr. Member
  • ****
  • Posts: 325
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

For a complete list of videos, visit our video library