Two hours later the nurse returns to check on the patient to find
Question Two hours later the nurse returns to check on the patient to findher resting comfortably. The PCA pump has delivered 2 mg of Morphine. Respiratory rate is 20 breaths per minute and SPO2 is 94%. The nurse teach’s the patient and her daughter appropriate use of the incentive spirometer device and observes its proper use by the patient. The patient reports pain at a 3 on the scale and has no requests at that time. One hour later the nurse is called to the patient’s room. The patient is found curled on her side holding her abdomen and reports pain at site is now at 9 on the scale. The patient’s vital signs are: blood pressure 120/65, pulse 99, respiratory rate 27 and shallow, and oxygen saturation of 92%. The patient reports having attempted to get out of bed without assistance and wound became very painful. The surgical dressing remains securely in place and now has moderate bloody secretions present. The nurse has placed an urgent call to the patient’s surgeon. Question:1. Provide the SBAR report the nurse should be prepared to provide regarding this patient. Fifteen minutes later the surgeon has not returned the nurses call. The patient’s condition is unchanged. Question:1. What should be the nurse’s action at this time? Health Science Science Nursing NRS 202160 Share QuestionEmailCopy link Comments (0)
