NURSING > STUDY GUIDE > NURS 225 Marilyn Hughes Feedback Log & Score (answered) (All)

NURS 225 Marilyn Hughes Feedback Log & Score (answered)

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Patient status - ECG: Sinus tachycardia. Heart rate: 107. Pulse: Present. Blood pressure: 153/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 1:18 You washed your hands. 2:10 Patient status - ECG: Sinus tachycardia. Heart rate: 108. Pulse: Present. Blood pressure: 155/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 2:31 You identiﬁed the patient. To maintain patient safety, it is important that you quickly identify the patient. 2:40 You asked if the patient was allergic to anything. She replied: 'No, I am not allergic to anything.' 2:48 You looked for normal breathing. She is breathing at 21 breaths per minute. The chest is moving normally on both sides. 3:10 Patient status - ECG: Sinus tachycardia. Heart rate: 109. Pulse: Present. Blood pressure: 154/92 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 3:18 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. 3:29 You checked the radial pulse. The pulse is strong, 110 per minute and regular. It is correct to assess the patient's vital signs. 3:56 You measured the blood pressure at 156/92 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 4:10 Patient status - ECG: Sinus tachycardia. Heart rate: 110. Pulse: Present. Blood pressure: 154/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 4:22 You checked the temperature at the mouth. The temperature was 99 F (37 C). 4:41 You examined the patient's skin. There is normal skin turgor. Her skin is cool, and she is very sweaty. 5:00 You checked the pedal pulse. The pulse is strong, 110 per minute and regular. The pulse is absent on the left side, though. Correct. This is part of a neurovascular assessment when compartment syndrome is suspected. 5:10 Patient status - ECG: Sinus tachycardia. Heart rate: 111. Pulse: Present. Blood pressure: 156/93 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 98%. Temp: 99 F (37 C) 5:18 You asked the patient if she could describe her pain. She replied: 'It feels like the bandage is too tight.' 5:24 You asked the patient where the pain was located. She replied: 'It's in my left leg.' 5:28 You asked the patient if the pain went anywhere. She replied: 'No, not really.'

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