Get Answer: Skills Prioritization Assignment Question Guide
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This question relates to skills prioritization assignment and requires a structured academic response.
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Original Question
Skills Prioritization Assignment 4535 Summer 2020 Situation: Off-going nurse giving shift report to on-coming nurse. Patient arrived to the unit 1 hour ago. Patient is presenting with abdominal pain and acute confusion that is new per wife. Background: 50 year old male (Pat Martinez) with a history of COPD, CAD, DM Type II, tracheostomy for stage II squamous cell carcinoma of the tongue, admitted through the Emergency department with c/o abdominal pain. Home meds: metformin, captopril, ASA (taken 10 hours ago). Labs and abdominal x-ray (completed). Wife is at the bedside. Admission vital signs: HR 109, BP 117/72, RR 20, temp 38.2, SPO2 at 91%. Assessment: Neuro: Patient is AO x3, GCS 14. Patient is confused, cannot articulate why he is in the hospital. Respiratory: 7.5 uncuffed Shiley tracheostomy in place, audible gurgling secretions, coarse crackles in all lung bases, currently on RA. Cardiovascular: S1 and S2 present, NSR on monitor, +2 pulses in all extremities. 18 gauge PIV in RUE, heplocked. GI: Rebound tenderness in RLQ, patient c/o nausea and demonstrates guarding. GU: Voids to urinal, clear yellow urine, last void 2 hours ago. Integumentary: skin is intact. Patient c/o pain 7/10 per VAS. Last vital signs: HR 115, BP 135/83, RR 24, temp 38.3, SPO2 at 86%. Glucose 44 mg/dL. 2 minutes ago. Recommendation: Provider contacted regarding patient’s glucose and new orders have just been placed. New orders are bolded and have not been completed yet.
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