The Nurse Is Providing Care for a Patient Who Is

The nurse is providing care for a patient who is 4 days postoperative for a laryngectomy. Which data about the patient indicates the need to modify the expected outcomes?

A) The patient has clear lung sounds and coughs up secretions.
B) The patient achieves an acceptable pain level with use of a patient-controlled pump.
C) The patient begins to ask about how to perform tracheostomy care.
D) The patient uses both a magic slate and picture board for communication.