You are caring for a 68-year-old patient who underwent abdominal surgery 24 hoursago. The patient has a history of type 2 diabetes mellitus and hypertension. Post-operative orders include monitoring of vital signs every 4 hours, assessing the surgicalsite for signs of infection, pain management, and early mobilization. The patient iscurrently NPO (nothing by mouth) and has an IV infusion of 0.9% saline at 100 mL/hr.The patient's current vital signs are: blood pressure 160/90 mmHg, pulse 96 beats/min,respiratory rate 20 breaths/min, and temperature 37.8°C (100°F). The patient complainsof moderate pain at the surgical site, rating it 6 out of 10 on the pain scale, and appearsanxious about the pain and the potential for complications.Given this scenario, which of the following nursing actions should be prioritized?A) Administering the prescribed PRN (as needed) analgesic for pain management.B) Assessing the surgical site for signs of infection or complications.C) Encouraging the patient to perform deep breathing and leg exercises.D) Notifying the healthcare provider of the patient's elevated blood pressure andtemperature.

A 68-year-old patient who underwent abdominal surgery 24 hours ago. The patient has a history of…

Answered: You are caring for a 68-year-old…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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You and your partner are dispatched for a report of an unresponsive 77-year-old male in a senior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you the patient is in the bedroom. As she leads you towards the bedroom, the aide begins to tell you she arrived for work about an hour ago and found the patient in his bed. “He normally is awake when I get here, but today I found him still in his bed. I thought he was only wanting to sleep in so I decided I would give him a little time, but he didn’t respond when I tried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning and cooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. I thought he might have come down with a bad cold because he was coughing a lot and I tried to encourage him to see his physician.”As you approach the patient’s bedside, you observe a thin,…
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Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…
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Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…
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Case 1 Endorsement: Patient Name: De Guzman, Tracy Age: 21 years old Sex: Female Religion: Catholic Attending Physician: Dr. Mercado. Amelia Room no./ OB Ward: / Health Center Chief Complaint: Labor pains Date and time admitted: January 18, 2021 at 07am Diet: DAT Allergies: No known allergies Pending Tests: Urinalysis Scenario 1 (Day 1): Tracy De Guzman is a 21-year-old woman, a resident of Lagao, General Santos City. She is 38 weeks pregnant. This is her second pregnancy, and she has attended all previous visits with her mother and Frank, the father of her baby. Tracy is very quiet and makes limited eye contact at the Health Center. Tracy’s pregnancy has been relatively uneventful. Her weight gain has been 23 pounds. Laboratory values and blood pressure have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. At her last visit to the barangay health center, the midwife told her they would discuss the birthplace. Tracy’s options are to deliver in…
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Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…

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