Question

The nurse is documenting the findings of a physical examination in a client's record. which findings should the nurse determine to be objective data?

Answer 1

The nurse notes the client has a rash on the chest and arms as a piece of documented objective data.

What do meant by Nursing Admission Assessment and Examination?

• The initial nursing assessment, the primary step in the five steps of the nursing process, involves the systematic and continuous collection of data; sorting, analyzing, and organizing that data; and therefore the documentation and communication of the data collected.
• Gathering information concerning the patient's individual physiological, psychological, sociological, and spiritual needs is included in the nursing assessment. It's the first step in the successful evaluation of a patient.
• Subjective and objective data collection are an integral a part of this process. A part of the assessment includes data collection by obtaining vital signs such as temperature, rate of respiration , pulse , vital sign , and pain level using an age or condition appropriate pain scale.
• The nurse recognizes normal and abnormal patient physiology and helps prioritize interventions and care. The assessment identifies current and future care needs of the patient by allowing the formation of a nursing diagnosis.

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