Medical Surgery 3Estelle Hatcher Room 303

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Estelle Hatcher Room 303 Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and coo... perative. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Ambulates with minimal assistance. Family at beside. Dr. Sangerstien You responded correctly to 5 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Status assessment reports first day post-op appendectomy, NPO, NG-tube to low continuous suction. Fall Risk Increased acuity Status assessment reports first day post-op appendectomy, NPO, NG Tube, IV- left forearm, ambulates with assistance. Health Change Increased acuity Status assessment reports first day post-op appendectomy; NPO, NG-tube to low continuous suction. Pain Level Increased acuity Status assessment reports first day post-op appendectomy. NG-tube to low continuous suction. Psychological Needs Increased acuity Status assessment reports no indication of increased psychological acuity. Sensorium Normal acuity Status assessment reports no indication of increased sensorium acuity. Estelle Hatcher 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Ambulates with minimal assistance. Family at beside. Dr. Sangerstien You correctly diagnosed 10 out of 12 options: Physiological Description Your Response Explanation Activity Intolerance True Status assessment states patient can ambulate with minimal assistance. Acute Pain True Status assessment reports patient first day post-op. Diarrhea False Status assessment reports no indication of diarrhea. ..............................................................CONTINUED................................................................................ [Show More]

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