— 照護管理 · EASY · MCQ —
護理師在記錄照護過程。哪句敘述屬於客觀資料？
A nurse is documenting care. Which statement reflects objective data?
- AThe client states that he feels very nauseous.客戶表示他感到非常噁心。
- BThe client seems confused when answering questions.客戶在回答問題時似乎感到困惑。
- CThe client appears anxious about the surgery.客戶對手術看起來感到焦慮。
- DThe client's BP is 138/82 mmHg.✓ 正解客戶的血壓為138/82 mmHg。
— Explanation · 中文詳解 —
護理記錄必須精確區分主觀資料（Subjective Data）與客觀資料（Objective Data）。客觀資料是指能透過觀察、測量、檢驗或身體評估所獲得的具體數據或事實，不帶有護理師的個人解讀或病人的主訴。血壓數值是透過儀器測量的物理數據，具有可重複驗證性，屬於標準的客觀資料。其他選項皆反映了護理師的主觀判斷或病人的主訴，缺乏量化基礎。
Objective data consists of measurable, observable facts obtained through assessment or diagnostic testing, such as vital signs. Blood pressure readings are quantifiable physical findings, whereas statements about nausea, confusion, or anxiety reflect subjective perceptions or interpretations rather than concrete evidence.