Assessment of Cardiac Status (graded)
Esther Jackson is a 56-year-old black female who is 1-day post-op following a left
radical mastectomy. During morning rounds, the off-going nurse shares with you
during bedside report that the patient has been experiencing increased discomfort
in her back throughout the night and has required frequent help with repositioning.
She states that the patient was medicated for pain approximately 2 hours ago but is
voicing little relief and states that you might want to mention that to the doctor
when he rounds later this morning. With the patient appearing to be in no visible
distress, you proceed on to the next patient's room for report.
pproximately 1 hour later, you return to Ms. Jackson's room with her morning pills
and find her slumped over the bedside stand in tears. The patient states, "I don't
know what is wrong, I don't feel right. My back hurts and I'm just so tired. What is
wrong with me?" The patient refuses to take her medications at this time stating
that she is starting to feel sick to her stomach.
Just then the nursing assistant comes into the patient's room to record Ms.
Jackson's vital signs, you take this opportunity to quickly research the patient's
medication record to determine if she has a medication ordered for nausea. Upon
return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP
132/54, but states she couldn't get the patient's pulse because "it is all over the
.
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