Question

A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply)

A. Respiratory rate is 22/min with even, unlabored respirations

B. The client's partner states, "He said he hurts after walking about 10 minutes."

C. Pain rating is 2 on a scale of 0 to 10

D. Skin is pink, warm, and dry

E. The assistive personnel reports the client walked with a limp

Answer 1

The objective data from the options provided include the patient's respiratory rate, skin condition, and a report of the patient walking with a limp. These are all observable and measurable by healthcare professionals.

Step-by-step explanation:

The charge nurse is reviewing the steps of the nursing process and identifying which types of data are objective data. Objective data are observable and measurable data that can be seen, heard, or measured by someone other than the person experiencing them. These can include vital signs, physical exam findings, and lab results. In the context of the question, the following data can be identified as objective data:

• Respiratory rate is 22/min with even, unlabored respirations
• Skin is pink, warm, and dry
• The assistive personnel reports the client walked with a limp

The other options like the client's partner stating the client's pain and the client's self-reported pain rating are subjective data because they are reported by the patient and cannot be directly measured or observed by others