Which finding should the nurse record as objective data in a health assessment?
Correct answer: C. The nurse observes a three-centimetre skin tear
- A. The patient reports feeling tired
- B. The patient states that nausea began today
- C. The nurse observes a three-centimetre skin tear
- D. The patient describes a burning sensation
Explanation
Objective data are observable or measurable findings obtained by the nurse, such as the size and appearance of a skin tear. Fatigue, nausea and burning are subjective symptoms reported by the patient.
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About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
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