A patient expresses fear of going home and being alone. Vital signs are stable and the incision is nearly completely healed. What can the nurse infer from the subjective data?

a. The patient can now perform the dressing changes without help.
b. The patient can begin retaking all of the previous medications.
c. The patient is apprehensive about discharge.
d. The patient's surgery was not successful.


ANS: C
Subjective data include expressions of fear of going home and being alone. These data indicate (use inference) that the patient is apprehensive about discharge. Expressing fear is not an appropriate sign that a patient is able to perform dressing changes independently. An order from a health care provider is required before a patient is taught to resume previous medications. The nurse cannot infer that surgery was not successful if the incision is nearly completely healed.

Nursing

You might also like to view...

A nurse is providing teaching on toilet training to a parent education group. Which signs of training readiness does the nurse explain to the parents? (Select all that apply.)

A. Can stay dry for at least 2 hours B. Gets up by self at night for toileting C. Showing interest in toileting D. Tells parent of need to use toilet E. Wants to hold urine and not void

Nursing

Which patient is at highest risk for a spinal cord injury?

1. 18-year-old male with a prior arrest for driving while intoxicated (DWI) 2. 20-year-old female with a history of substance abuse 3. 50-year-old female with osteoporosis 4. 35-year-old male who coaches a soccer team

Nursing

A nurse is careful to cover the client during a bath. This action describes which of the following nursing roles?

1. Caregiver 2. Communicator 3. Teacher 4. Client advocate

Nursing

A 72-year-old woman recently had gallbladder surgery and is now back in her home environment. The visiting nurse who came to check on her incision notices that the incision appears red and irritated, and pus is forming in pockets around the edges. The patient is transported back to the hospital and admitted with a diagnosis of healthcare-acquired methicillin-resistant Staphylococcus aureus (MRSA). The physician orders 1 g Vancomycin in 200 mL over 75 minutes. The Vancomycin is available as an isotonic, premixed solution of 1 g/200 mL. Calculate the manual flow rate with 15 gtt/mL tubing: ________. 

Fill in the blank(s) with the appropriate word(s).

Nursing