list subjective & objective data that you can identify from Mrs. Perez before initiating a plan of care.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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  • Mrs. Perez, 48 years old, is admitted to the nursing unit 2 hours after undergoing a right surgical removal of her breast (mastectomy). The floor nurse receives a report from the post anesthesia care unit (PACU) nurse that includes the patient’s admitting diagnosis of breast cancer, latest vital signs, focused assessment, medication & intravenous (IV) orders, pain level & the time she was last medicated for pain & status of the surgical dressing. Initially, Mrs. Perez appears to be comfortable, dozing occasionally between short conversations with her husband, who is at her side. When she was fully awake 3 hours after, she complains of sharp, constant pain on the right side of her chest. She rates her pain at 8 / 10 on the pain scale. She is grimacing and appears tense. The RN took her vital signs - T = 36.5 "C; BP = 130/100 mmHg; RR = 20 bpm; PR = 80 beats/min. She inspected the surgical wound, at the right breast and reveals that the dressing is slightly soaked with blood and intact, no pus & slightly swelling noted. 

Answer the following questions:

  1. In your assessment, list subjective & objective data that you can identify from Mrs. Perez before initiating a plan of care. Note: The number indicated below is only a guide (template) on how you will answer the question. It does not necessarily mean that those are the actual number to be listed for each. 
    1. Subjective
      1.  
      2.  
      3.  
    2. Objective
      1.  
      2.  
      3.  
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