Sam Rivera, 69, Male, Married, Spanish(little English), 6 feet, 225… 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 UnitDx postop right inguinal herniorraphyVital signs: q 4 hrDiet: NPO until awake clear, liquid to 2,000 cal ADA as toleratedSignatureActivity: OOB with assistanceIV therapy: 1,000 mL NSS over 8 hrMedications:Percocet 1 tab po q 4 hr prn painDiovan 160 mg po dailyLisinopril 5 mg po dailyMetformin 500 mg po bidDiagnostic studies:Blood glucose checks qid and AC/HS qidTreatments: O, L/nasal cannulaIncentive spirometry q 1 hr while awakeNursing ReportMr. Rivers, aged 69 years, patient of Dr. Dombrowski, hadlaporoscopic right inguinal heriniorrhaphy under generalanesthesia. 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 masalcannula, temperature 97.8°E. Pain 2/10. AccuCheck 115.Patient awake, alert, and oriented X 3, dressings dry andintact. Foley catheter drained 400 miL clear yellow urine anddiscontinued at 4 PM. 1.000 mL NSS over 8 hr. Patient fortentative discharge in AM.After reviewing the client background and nursing report,you are ready to assess your client’s current status. Undereach category, identify how you would target your assess-ment and what you would expect to find for the patient withabdominal pain.HistoryAre there any questions you need to ask the patient or familyto 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 textSimulator Prep Assignments 1. Identify itemsand their purpose in the care of a patientwith abdominal pain. Item Purpo… Show more… Show more Image transcription textSIMULATION Religion: Catholic Client Background Occupation:retired construction worker Biographical data Current Health StatusAge: 69 Patient admitted for right inguinal hernia repair… Show more… Show moreImage transcription textasses REVIEW QUESTIONS 1. What is the rationale for performing auscultation ofthe abdomen prior to palpation? Answer: 2. When inspecting the abdomen, you notethat the abdomen is distended. What may account for symmetrical dist… Show more… Show moreOnly need to use the info given to fill the blank spaces and questions please Image transcription text56 Fundamental Skills 4. Initial FocusedAssessment CV: After reviewing the clientbackground and nursing report, Bre… Show more… Show more Health Science Science NursingNUR MISC
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