What is an example of a subjective data?

Correct Answer: C

Rationale: Subjective data consists of information reported by the patient, reflecting their personal experiences, sensations, or perceptions, which cannot be directly measured by the nurse. The statement 'I feel pain when urinating' is a classic example, as it conveys the patient's subjective sensation of pain, reliant on their verbal report rather than objective observation. This type of data is crucial for understanding symptoms like pain or discomfort that lack visible signs. In contrast, a heart rate of 68 beats per minute is objective, measurable via pulse check. Yellowish sputum and noisy breathing are also objective, observable through sight and sound during assessment. Subjective data, like the patient's pain report, enhances the nurse's ability to assess holistic needs, guiding further inquiry or intervention, such as checking for urinary tract issues, making it distinct from observable, objective findings.

Correct Answer: D

Rationale: Subjective data are clients' perceptions e.g., 'I feel dizzy' reported directly, capturing experiences unmeasurable by others. This contrasts with objective data (e.g., pulse), observable by nurses. Observational recordings are objective, like noting pallor, not perceptions. Ancillary reports (e.g., lab results) are objective, external data, not client-voiced. Subjective data's focus on personal input e.g., pain severity enriches assessment, guiding nurses to explore symptoms' impact (e.g., anxiety's role), making it vital for holistic care and the correct classification here.

Correct Answer: A

Rationale: Hypotonic solutions (e.g., 0.45% saline) shift fluid into cells, replacing intracellular loss (e.g., dehydration), making this true ideal for cellular rehydration. Smaller veins aren't ideal for irritating solutions (e.g., potassium); larger veins dilute and tolerate them better, reducing phlebitis making this false. Adapting the true/false format, 'hypotonic solutions should replace intracellular loss' stands as true, supported by fluid dynamics in nursing. Both being true fails due to the vein statement. Neither true ignores the hypotonic role. The first statement's accuracy aligns with IV therapy principles, guiding nurses in fluid management, making it the correct choice.

Correct Answer: B

Rationale: Teaching clients to manage their health effectively is a key nursing role in promotion.

Correct Answer: C

Rationale: Knee-chest provides optimal access and visibility for rectal exams.