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.
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