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    HESI PN Exit 2023 II Proctored Exam
    Select All That Apply

    When assessing a client, the nurse should establish which finding(s) as objective? (Select all that apply.).

    Explanation & Rationale

    Choice A rationale: Urticaria is a skin condition characterized by the sudden appearance of raised, itchy, and red welts on the skin. It is an objective finding because it can be observed and assessed visually. The presence of urticaria may indicate an allergic reaction or another underlying condition. Choice B rationale: Hypertension, measured using a sphygmomanometer, provides a quantitative value, making it an objective finding. Blood pressure readings such as systolic values above 120 mmHg or diastolic values above 80 mmHg indicate elevated blood pressure levels. Because it is measured directly, hypertension is categorized as objective data that aids in diagnosing and managing cardiovascular conditions. Choice C rationale: Diaphoresis refers to excessive sweating, which can be observed and assessed visually. It is an objective finding and may be indicative of various conditions, including anxiety or fever. Choice D rationale: Nausea is a subjective symptom because it is a sensation that the client experiences and reports. It cannot be directly observed by the nurse, making it a subjective parameter. Choice E rationale: Anxiety is a subjective symptom, as it is a mental and emotional state experienced by the client. It cannot be directly observed, making it a subjective parameter. Choice F rationale: Edema is an objective finding because it can be visually assessed by the nurse. Edema is the accumulation of excess fluid in body tissues, and its presence or absence can be objectively determined.

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