*NURSING > Summary > Summary Marilyn Hughes Age: 45 years Diagnosis: Lower Leg Fracture Complete Log. (All)
Marilyn Hughes Age: 45 years Diagnosis : Lower Leg Fracture Score 0 0 0 100% Feedback Log 0:00 You arrived at the patient's side. 0:00 You introduced yourself. This study source was downlo... aded by 100000860583932 from CourseHero.com on 01-26-2023 09:24:56 GMT -06:00 https://www.coursehero.com/file/81467143/Marilyn-Hughesdocx/ 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 150/90 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 97%. Temp: 99 F (37 C) 0:11 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 154/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 1:17 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:28 You asked if the patient was allergic to anything. She replied: 'No, I am not allergic to anything.' 1:38 You asked the patient if she had any pain. She replied: 'Yes! Ahh...' 1:43 You asked the patient if she could describe her pain. She replied: 'It feels like the bandage is too tight.' 1:49 You asked the patient where the pain was located. She replied: 'It's in my left leg.' 2:02 You asked the patient how long she had pain for. She replied: 'Since I got back from surgery...' 2:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 152/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 2:14 You looked for normal breathing. She is breathing at 21 breaths per minute. The chest is moving normally on both sides. 2:43 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 2:55 You checked the radial pulse. The pulse is strong, 100 per minute and regular. It is correct to assess the patient's vital signs. 3:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 157/94 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 3:18 You checked the temperature at the mouth. The temperature was 99 F (37 C). 3:34 You assessed the patient's dressing. This is correct. Assessing any dressings the patient has is always important. This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 09:24:56 GMT -06:00 https://www.coursehero.com/file/81467143/Marilyn-Hughesdocx/ 3:47 You sat the patient up. 4:10 Patient status - ECG: Sinus rhythm. Heart rate: 98. Pulse: Present. Blood pressure: 155/93 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 4:24 You measured the blood pressure at 156/94 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 4:57 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the patient continuously. 5:06 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 5:10 Patient status - ECG: Sinus rhythm. Heart rate: 98. Pulse: Present. Blood pressure: 153/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 5:54 You checked the pedal pulse. The pulse is strong, 100 per minute and regular. The pulse is absent on the left side, though. Correct. This is part of a neurovascular assessment when compartment syndrome is suspected. 6:10 Patient status - ECG: Sinus rhythm. Heart rate: 99. Pulse: Present. Blood pressure: 154/93 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 6:23 You asked the patient if she could move her toes. She replied: 'No. I don't think so.' 6:28 You asked the patient if she could feel her toes. She replied: 'My left foot feels really numb.' 6:43 You phoned the provider i [Show More]
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