A client who fell and broke a wrist is admitted for 24 hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.
Explanation & Rationale
A. Client is able to ambulate to the bathroom safely to void: Functional mobility and independence with basic activities, such as toileting, are key discharge criteria, especially after short-term observation. B. Bowel sounds are present in all four quadrants and abdomen is soft: While important for postoperative recovery after abdominal surgery, this is not critical for discharge after orthopedic wrist surgery. C. Vital signs within normal limits and blood pressure of 142/94 mm Hg: Slightly elevated blood pressure may be acceptable if stable and not symptomatic; stable vital signs overall support readiness for discharge. D. Oral medications, including analgesics, are tolerated without vomiting: Tolerating oral medications is essential for safe discharge, as the client must continue managing pain and other needs at home. E. Pain rating of 5 on a 0 to 10 scale and taking oral analgesics every 4 hours: Moderate pain that is managed effectively with oral medication is an acceptable and realistic condition for discharge after surgery.