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Patient A
Patient B
Patient C
Patient D
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Information given by the patient during data collection is considered subjective data. The data obtained by the nurse during physical examination by inspecting, percussing, palpating, and auscultating the patient are known as objective data, as are any data obtained from laboratory findings, medical history, and diagnostic reports. The data
collection for Patient C is correct because it separates subjective data (burning sensation during urination) from objective data (bronchitis and urinary tract infection) that is diagnosed from laboratory results and diagnostic reports. The entries for patients A, B, and D are all incorrectly recorded, because these entries confuse objective information, which can be verified with tests and subjective data, which must be given by the patient.
Text Reference - p. 2
Complete database
Follow-up database
Emergency database
Problem-centered database
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Depending on the patient's condition and the data obtained during the assessment, the nurse would establish a specify type of database to provide effective treatment for the patient. In this case, the nurse is collecting data regarding the cause, signs, and symptoms of a skin infection, so he or she would establish a problem-centered
database focused on one issue. The nurse would collect a complete health history and would conduct a complete physical examination of the patient in order to establish a complete database. In order to establish a follow-up database, the nurse would evaluate the effectiveness of the treatment. The nurse would establish an emergency database in order to provide immediate treatment for more conditions such as drug overdose.
Test-Taking Tip: You have at least a 25% chance of selecting the
correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong, and then call on your knowledge, skills, and abilities to choose from the remaining responses.
Text Reference - p. 7
Do a comprehensive assessment, including age-specific health risks.
Do a problem-focused assessment on his chest pain and medical history.
Do an emergency assessment in order to initiate lifesaving measures.
Immediately call for an ambulance to take the patient to the hospital.
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The nurse's priority in this case is to perform an emergency assessment and initiate life saving measures, because the patient's life may be at risk. The nurse cannot perform a comprehensive assessment at this time, because the patient may need prompt treatment. It may not be feasible to perform a problem-focused assessment, because the patient is in
distress. The nurse needs to initiate lifesaving measures and then call for an ambulance so that the patient is not at immediate risk.
Test-Taking Tip: Key words or phrases in the stem of the question such as first, priority, early, or best are important. Similarly, words such as only, always, never, and all in the alternatives are frequently evidence of a wrong response. As in life, no real absolutes exist in nursing; however, every rule has its exceptions, so answer with care.
Text
Reference - p. 7
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