Difficulty: Medium
Average Score: 72%
Simulated
A nurse is assessing a client who is postoperative. Which of the following findings should the nurse identify as objective data? (Select All that Apply.)
Correct answer
A,B,E
Rationale
Correct Answer: A, B, E
Rationale:
A: The client's blood pressure is an objective measurement that can be directly observed and documented, indicating a change from preoperative status.
B: Swollen and warm calf are objective physical findings that can be observed and assessed by the nurse.
E: Measuring urine output is an objective assessment that provides quantifiable data about the client's renal function.
Incorrect Choices:
C: Nausea is a subjective symptom reported by the client and not directly observable by the nurse.
D: Pain is a subjective symptom reported by the client and cannot be objectively measured by the nurse.
Rationale:
A: The client's blood pressure is an objective measurement that can be directly observed and documented, indicating a change from preoperative status.
B: Swollen and warm calf are objective physical findings that can be observed and assessed by the nurse.
E: Measuring urine output is an objective assessment that provides quantifiable data about the client's renal function.
Incorrect Choices:
C: Nausea is a subjective symptom reported by the client and not directly observable by the nurse.
D: Pain is a subjective symptom reported by the client and cannot be objectively measured by the nurse.