Which of the following are examples of objective data? A) ...

[craiczarry]

Which of the following are examples of objective data?
 
  A) client describing his pain
  B) laboratory results
  C) breath sounds
  D) mother describing her child's asthma attack
  E) a client's temperature

Question 2

The RN is admitting a client to a medical unit. The nurse delegates the measurement of the vital signs to unlicensed assistive personnel (UAP) while she collects data.
 
  After completing the admission process the client complains of a severe headache, so the nurse reassesses the vital signs to find the patient's blood pressure extremely elevated. Whose responsibility is the accuracy of the blood pressure measurement?
  A) the company that made the blood pressure equipment
  B) the nurse
  C) the UAP
  D) the charge nurse

[joneynes]

Answer to Question 1

Ans: E
Feedback:
Objective data from observation (e.g., posture, skin color, behavior), health records (e.g., laboratory results, reports from other health care team members), physical assessment (e.g., breath sounds, strength of extremities), and measurement devices (e.g., blood pressure, temperature) are collected to judge the client's behavioral responses to nursing interventions.

Answer to Question 2

Ans: B
Feedback:
While the nurse may delegate duties to UAP, the professional RN is ultimately responsible for the completeness and accuracy of the information. Since this was part of the admission assessment it would be advisable for the nurse to have measured the vital signs herself.

[craiczarry]

Gracias!

[laurnthompson]

TYSM