The nurse documents which information in the patient's history?
A) The patient's skin feels warm to the touch.
B) The patient is scratching his arm.
C) The patient's temperature is 100° F.
D) The patient complains of itching.

Question

Quizplus · Accepted Answer

A patient's complaint of itching is subjective information, which means it is a symptom and is documented in the history. The patient's warm skin is objective information gathered by the nurse through palpation, is also a sign, and is documented in the physical examination. The patient's scratching is objective information gathered by the nurse through observation, is also a sign, and is documented in the physical examination. The patient's elevated temperature is objective information gathered by the nurse through measurement, is also a sign, and is documented in the physical examination.

The Nurse Documents Which Information in the Patient's History