OV , 59 years of age, is a female patient who was admitted to the…OV , 59 years of age, is a female patient who was admitted to the…
Question Answered step-by-step OV , 59 years of age, is a female patient who was admitted to the… OV , 59 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. She has a history of hypertension, hyperlipidemia, known CAD; S/P PTCA/Stent to the LAD 10 years ago and Type 2 DM. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are intact. There is an area of redness and erythema to one of the incision sites, with a small amount of purulent drainage coming from this site,There is a Jackson–Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. The patient has no bowel sounds. The Foley catheter has a small amount of dark amber-colored urine without sediments. The patient has sequential compression device (SCD) in place. The nurse performs an assessment and notes that the patient’s breath sounds are decreased bilaterally in the bases. The patient’s cardiac assessment is within normal limits. The patient is receiving O2 at 2 L per nasal cannula with a pulse oximetry reading of 90%. The patient feels warm to the touch and her recent oral temperature reads 38.0 degrees C.The rest of her vital signs are as follows: blood pressure:100/50 mm Hg; heart rate:110 bpm; respiratory rate: 16 breaths/min. An IV of D5W.9%Saline is infusing at a KVO rate. Home meds include:Losartan 500 mg PO dailyAtorvastatin 10 mg PO QHSASA 81 mg PO dailyMetformin 500 mg PO BIDLantus Insulin 10 units QHS As the RN receiving hand-off on this patient, using the SBAR method for hand-off, what information is missing in order for you to provide care for this patient? What is your assessment of the current medication list and IV therapy?What do you think is going on with this patient?What recommendations would you suggest to the provider in managing this patient Health Science Science Nursing NR 120.501 Share QuestionEmailCopy link Comments (0)


