NUR 218 AC Her Vital Signs Are Stable Apart from High Blood Pressure Analysis

Description

Read Improve Communication Quality and Safety in Client Care: Activity 3, then answer the Clinical Application Questions.

Scenario

It is 10:00 a.m. You administered Mrs. Jones the new Dilaudid dose of 4mg at 8:00 a.m. Her pain has been reduced to a 6/10. You got her a crossword puzzle from the volunteers cart and told her that you spoke to her physician, and he has increased her pain medications from 2 mg to 4 mg. You offer her a back rub and a fresh pillowcase. She tears up and says, thank you so much for caring. I was so afraid that I was going to die from this pain that I just couldnt sleep last night.

72, Caucasian, Female, Obese

It is noon, and Mrs. Jones wants her pain medication. She is still a 6/10. She is resting 30 minutes after receiving the medication. She opens her eyes for one moment and whispers to you, Im finally at a 3/10, and I am going to take a long nap. God bless you.

At 1:00 p.m., you receive the following lab values.

LABVALUESNORMAL VALUESPTT35 sec(25-35)PT12 sec(12-15)BUN15(5-25)Creat1.0(0.5-1.5)Sodium138(135-145)Potassium3.7(3.5-5)Glucose120(70-100)Ca9.0(8.5-10)Hgb9.0(13.5-17)Hct28(40-54)

Clinical Application Questions

After reading the scenario, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance.

Which lab(s) value(s) do you believe to be critical?
Write the information that you would provide to the health care provider.

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