Rivera Male Married Explained for Students (Easy Guide)
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Original Question
Sam Rivera, 69, Male, Married, Spanish(little English), 6 feet, 225 IB, retired construction worker, admitted for right inguinal hernia repair, history of type 2 diabetes, IITN, BPII. Admit to Medical-Surgical Unit Dx postop right inguinal herniorraphy Vital signs: q 4 hr Diet: NPO until awake clear, liquid to 2,000 cal ADA as tolerated Signature Activity: OOB with assistance IV therapy: 1,000 mL NSS over 8 hr Medications: Percocet 1 tab po q 4 hr prn pain Diovan 160 mg po daily Lisinopril 5 mg po daily Metformin 500 mg po bid Diagnostic studies: Blood glucose checks qid and AC/HS qid Treatments: O, L/nasal cannula Incentive spirometry q 1 hr while awake Nursing Report Mr. Rivers, aged 69 years, patient of Dr. Dombrowski, had laporoscopic right inguinal heriniorrhaphy under general anesthesia. Patient has history of HIN, type 2 DM, BPH. Patient vital signs stable: BP 140/85, pulse 97 and regular, respirations 24 and shallow, pulse ox 95% on 2 L via masal cannula, temperature 97.8°E. Pain 2/10. AccuCheck 115. Patient awake, alert, and oriented X 3, dressings dry and intact. Foley catheter drained 400 miL clear yellow urine and discontinued at 4 PM. 1.000 mL NSS over 8 hr. Patient for tentative discharge in AM. After reviewing the client background and nursing report, you are ready to assess your client’s current status. Under each category, identify how you would target your assess- ment and what you would expect to find for the patient with abdominal pain. History Are there any questions you need to ask the patient or family to obtain additional relevant data? Physical Exam – General appearance: Integumentary: HEENT: – Respiratory: LeV: 1 Breasts: 1 Abdominal: Neuro: – Musculoskeletal: Reproductive: a Additional: – Developmental: What are the nursing implications considering the devel- opmental stage of your patient? Identify 3 priority nursing problem/diagnoses? Image transcription text Simulator Prep Assignments 1. Identify items and their purpose in the care of a patient with abdominal pain. Item Purpose IV… Show more Image transcription text SIMULATION Religion: Catholic Client Background Occupation: retired construction worker Biographical data Curren… Show more Image transcription text asses REVIEW QUESTIONS 1. What is the rationale for performing auscultation of the abdomen prior to palpation? An… Show more Only need to use the info given to fill the blank spaces and questions please Image transcription text 56 Fundamental Skills 4. Initial Focused Assessment CV: After reviewing the client background and nursing report, … Show more
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