Exam (elaborations) NURS 267 Med-Surg Dorris Bowman Feedback Log & Sco

Exam (elaborations) NURS 267 Med-Surg Dorris Bowman Feedback Log & Sco You arrived at the patient's side. 0:00 You introduced yourself. 0:05 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. Heart rate: 105. Pulse: Present. Blood pressure: 155/93 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C)  This study source was downloaded by from CourseH on :52:47 GMT -05:00 This study resource was shared via CourseH 7/27/2019 Feedback Log & Score — Doris Bowman Mar 24, 2018 9:02 PM 1:10 Patient status - ECG: Sinus tachycardia. Heart rate: 104. Pulse: Present. Blood pressure: 149/90 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 94%. Temp: 99 F (37 C) 1:19 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:28 You asked if the patient was allergic to anything. She replied: 'No, I am not allergic to anything.' 1:53 You attached a 3-lead ECG. It is correct to attach the monitor to the patient. 2:05 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important. 2:10 Patient status - ECG: Sinus tachycardia. Heart rate: 103. Pulse: Present. Blood pressure: 151/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 2:40 You listened to the abdomen of the patient. You could hear hypoactive sounds from the abdomen. This is reasonable. 2:56 You assessed the patient's dressing. This is correct. Assessing any dressings the patient has is always important. 3:10 You looked for normal breathing. She is breathing at 21 breaths per minute. The chest is moving normally on both sides. 3:39 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 3:54 You checked the radial pulse. The pulse is strong, 100 per minute and regular. It is correct to assess the patient's vital signs. 4:10 Patient status - ECG: Sinus tachycardia. Heart rate: 102. Pulse: Present. Blood pressure: 152/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 4:21 You measured the blood pressure at 152/92 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 4:47 You checked the temperature at the mouth. The temperature was 99 F (37 C). 4:59 You asked the patient if she had any pain. She replied: 'Yes! Ahh...' 5:05 You asked the patient if she needed anything for the pain. She replied: 'Yes. Please!' 5:10 Patient status - ECG: Sinus tachycardia. Heart rate: 102. Pulse: Present. Blood pressure: 153/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 5:25 A 2 mg dose of morphine was injected IV. It was reasonable to give an opioid here. It is important to use the basic rights of medication administration to ensure proper drug therapy..             This study source was downloaded by from CourseH on :52:47 GMT -05:00 This study resource was shared via CourseH 7/27/2019 Feedback Log & Score — Doris Bowman Mar 24, 2018 9:02 PM 5:25 The patient started developing respiratory depression. 5:37 Patient status - ECG: Sinus rhythm. Heart rate: 98. Pulse: Present. Blood pressure: 149/89 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 5:47 Patient status - ECG: Sinus rhythm. Heart rate: 92. Pulse: Present. Blood pressure: 135/81 mm Hg. Respiration: 7. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 6:06 The patient's respiration rate dropped below 6 breaths per minute. 6:09 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 124/73 mm Hg. Respiration: 5. Conscious state: Somnolent. SpO2: 94%. Temp: 99 F (37 C) 6:15 You started assisting a patient who was breathing. You were able to provide sufficient ventilation. 6:31 You administered 0.2 mg of naloxone IV. Naloxone is the appropriate drug to give here to reverse the effect of the opioid. 6:36 You stopped ventilating the patient. 6:40 You started assisting a patient who was breathing. You were able to provide sufficient ventilation. 6:42 Patient status - ECG: Sinus rhythm. Heart rate: 89. Pulse: Present. Blood pressure: 119/69 mm Hg. Respiration: 10. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 6:52 Patient status - ECG: Sinus rhythm. Heart rate: 90. Pulse: Present. Blood pressure: 120/69 mm Hg. Respiration: 15. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 7:10 You stopped ventilating the patient. 7:15 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 7:19 Patient status - ECG: Sinus rhythm. Heart rate: 96. Pulse: Present. Blood pressure: 132/74 mm Hg. Respiration: 20. Conscious state: Appropriate. SpO2: 96%. Temp: 99 F (37 C) 7:38 You phoned the provider in order to discuss the patient. 8:19 Patient status - ECG: Sinus rhythm. Heart rate: 99. Pulse: Present. Blood pressure: 140/78 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 96%. Temp: 99 F (37 C) 8:39 A patient handoff was performed. Nursing management objectives for the patient in the post anesthesia care unit are to provide care until the patient has recovered from the effects of anesthesia, is oriented, has stable vital signs, and shows no evidence of complications. Pain control is a critical component of postoperative care and often includes IV opioid analgesic medications to provide immediate but short-acting pain relief. The most common adverse effects of opioid analgesic agents are constipation, nausea, vomiting, pruritus, and sedation. Respirato