The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. Data base.
b. Admitting data.
c. Financial statement.
d. Discharge summary.
The patients record, laboratory studies, objective data, and subjective data combine to form the:
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Data base.
Together with the patients record and laboratory studies, the objective and subjective data form the data base. The other items are not part of the patients record, laboratory studies, or data.
a. Data base.
The combination of the patient’s record, laboratory studies, objective data, and subjective data forms the database.
The database refers to the comprehensive collection of information about a patient, including their medical history, physical examination findings, laboratory and diagnostic test results, subjective complaints or symptoms reported by the patient, and any other relevant data.
The database serves as the foundation for the nurse’s assessment, diagnosis, and development of a care plan. It provides a comprehensive picture of the patient’s condition, allowing the nurse to analyze and synthesize the information to make informed decisions about the patient’s care.
By combining objective data (measurable and observable information) with subjective data (the patient’s self-reported experiences and perceptions), the database presents a holistic view of the patient’s health status.
The other options provided:
b. Admitting data: This refers specifically to the information collected during the admission process to a healthcare facility.
c. Financial statement: This is a document that summarizes an individual’s or organization’s financial position and transactions.
d. Discharge summary: This is a document that summarizes a patient’s hospitalization, including the reason for admission, significant findings, treatments, and discharge instructions.
Therefore, the correct term for the combination of the patient’s record, laboratory studies, objective data, and subjective data is the “database.”