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1. After completing an initial assessment of a patient, the nurse has charted that his re
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spirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
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a
.
Objective. t
b
0
.
Reflective. t
c
0
.
Subjective. t
d
0
. Introspective.
ANS: A t0
Objective data are what the health professional observes by inspecting, percussing, palpating, a
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nd auscultating during the physical examination. Subjective data is what the person says about hi
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m or herself during history taking. The terms reflective and introspective are not used to describ
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e data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types
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of data would be:
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a
. Objective.
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,b
.
Reflective. t
c
0
.
Subjective. t
d
0
. Introspective.
ANS: C t0
Subjective data are what the person says about him or herself during history taking. Objective
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data are what the health professional observes by inspecting, percussing, palpating, and auscultat
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ing during the physical examination. The terms reflective and introspective are not used to descri
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be data.t0
DIF: Cognitive Level: Understanding (Comprehension) REF: z. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine to
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0 form the: t0
a
.
Data base. t0 t
0 b
.
Admitting data. t0 t
0 c
.
Financial statement. t0 t
0 d
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, . Discharge summary. t0
ANS: A t0
Together with the patients record and laboratory studies, the objective and subjective data form th
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e data base. The other items are not part of the patients record, laboratory studies, or data.
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