Basic Nursing 1st Edition by Judith Wilkinson, Leslie Treas

Exercise 14

During Sami's appointment at the women's clinic, she has a Pap smear, breast exam, and blood work. She also informs the nurse that her menstrual flow is very heavy and that she experiences severe abdominal cramping. All of these data are added to the database as references for future visits. Sami's Pap smear results and breast exam are normal, but she is moderately anemic (she has a low hemoglobin level).When the nurse sees the lab results, she suspects that the heavy flow may be causing Sami's anemia. According to clinic protocol, she prescribes birth control pills for Sami to control her heavy, painful periods and provide contraception. Ongoing assessment will include visits every 6 months to evaluate her birth control pills and monitor the anemia. State whether the following data are primary or secondary, subjective or objective:
• You see in Sami's health record that her breast exam was normal.
• Sami tells the nurse that she experiences cramping with her menstrual cycle. For the nurse, is this primary or secondary, subjective or objective data?
• The nurse tells you that Sami is anemic.
• You check the result of the Pap smear in her electronic health record and see that it is normal.