Case
NUR 411 Surgical Case 01 Marilyn Hughes
- Course
- Nursing 411
- Institution
- Borough Of Manhattan Community College
Surgical Case 01 Marilyn Hughes for Nur 411.
[Show more]
Content preview
Surgical Case 1: Marilyn HughesDocumentation Assignments
1. Document a comprehensive pain assessment for Marilyn Hughes.
Marilyn’s pain was high when she scaled it at an 8. She mentioned that her bandages felt
too tight. I loosened her bandages and lowered her leg to heart level and assessed her
pain again, this time it was lowered at a 5.
2. Document Marilyn Hughes’ neurovascular assessment.
My initial assessment of her pedal pulses were bounding in the right leg 105bpm and
absent in the left leg. After my interventions the pulse went down to 95bpm in the right
leg but was still absent in the left (affected) leg.
3. Document the changes in Marilyn Hughes vital signs.
Ms. Hughes vital signs were stable post surgery then increased as her pain increased.
After interventions it went back down into normal range.
4. Identify and document key nursing diagnoses for Marilyn Hughes.
Impaired mobility related to bone fracture
Risk for falls related to impaired mobility
Risk for infection related to surgical incision
Risk for peripheral neurovascular dysfunction related to reduction of blood flow
5. Referring to your feedback log, document the nursing care you provided and Marilyn
Hughes’ response to this care.
I took Ms. Hughes vital signs- her response was okay and her vitals were within normal
range
I loosened her restrictive bandages and she responded well
I lowered her affected leg and she responded well to that as well.
I preformed mt safety measures by confirming it was the right patient and getting
consent also checking for any allergies. I left the patient in bed and resting prior to hand
off.
© Wolters Kluwer Health | Lippincott Williams & Wilkins
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52928 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now