Question

Recognizing Subjective and Objective Data and Nursing Diagnoses

A Risk for Aspiration (Inhaling fluids)              E. Fear

B Activity Intolerance                                        F. Ineffective Breathing Pattern

C Anxiety

D Risk for Impaired Skin Integrity

G. Ineffective Airway Clearance

H. Impaired Skin Integrity

1. Jim Riley has just had surgery to correct a fractured jaw. His jaw is wired shut. You go in to check on him and ask him how he is feeling. He replies, “I had my jaw wired shut yesterday and I’m feeling nauseated right now”.

      Of the above data, which is Objective?

      Of the above data, which is Subjective?

      Which Nursing Diagnosis would you choose for him? ______

Answer 1

Subjective data means "What patient saying about his condition".It is known as symptoms.

Objective data means "what a nurse or doctor observe". It is known as signs.

Objective data includes - Risk for aspiration, the risk for impaired skin integrity, ineffective airway clearance and impaired skin integrity.

Subjective data includes - fear, nausea and activity intolerance

Anxiety and ineffective breathing can be both subjective data and objective data.

Nursing diagnosis

1. Fear and Anxiety-related to surgical procedure as evidenced by restlessness, irritability, insomnia

2. activity intolerance related to pain in the surgical site as evidenced by weakness

3. The risk for aspiration related to Jaw surgery and ineffective breathing pattern

4. The risk for impaired skin integrity related to bed rest and immobility