Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. You enter the PACU to perform an assessment. Lou Thao is lying in bed with the head of bed at 15 degrees. He is alert and oriented but groggy after surgery. He states, “I am dizzy and feel like I could pass out. The room is spinning around” His vital signs are as follows: T = 97.4 F (36.3 C) BP = 78/42 P = 132 RR = 22 O2 Sat = 95% (2 L/min via nasal cannula) He asks you for a drink stating he is very thirsty and just doesn’t feel right. Further assessment: Heart sounds: Regular Lung sounds: Clear Bowel sounds: Absent Pulses: 1+ bilaterally Pain: 6/10 Urine in indwelling catheter bag is concentrated and amber. Wound, lower abdomen: Clean, dry, and intact, with no drainage Part One: List the unexpected assessment findings (specific for Lou)? Something typically abnormal could be normal in his position. Part Two: What do these assessment findings indicate. Part Three: What is your recommendation to the provider? What order are you going to ask for?
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David Montanari is a 19-year-old male who suffered a T4-T5…
David Montanari is a 19-year-old male who suffered a T4-T5 burst fracture as a result of a motorcycle accident on Sunday. He underwent spinal fusion on Sunday evening and has had an uneventful recovery period. David has no sensation or movement below the nipple line and is bed bound. Yesterday evening, his indwelling urinary catheter was discontinued in an attempt to begin bladder retraining. The last bladder scan and straight catheterization were done at midnight. The scenario takes place on Thursday at 0800 during the morning nursing assessment. David Montanari is lying supine in bed with the head of bed at 15 degrees. David’s mother, Janene Montanari, is at the bedside and is anxious about her son’s condition. Assessment Data T = 98.2 F (36.8 C)BP = 150/88P = 48RR = 24O2 Sat = 96% (room air)• Heart sounds: Regular• Lung sounds: Clear• Bowel sounds: Present• Pulses: 3+ Place the following nursing interventions in the order you, as the nurse, will implement them. First to last.
What cryptographic method, first proposed in the mid-1980s,…
What cryptographic method, first proposed in the mid-1980s, makes use of sloping curves instead of large prime numbers?
Name 2 phonological processes that are NEVER normal in devel…
Name 2 phonological processes that are NEVER normal in development. [a] [b]
The action that is taken by a subject over an object is call…
The action that is taken by a subject over an object is called a(n):
What term below is used to describe an attack that sends uns…
What term below is used to describe an attack that sends unsolicited messages to Bluetooth enabled devices?
What type of cryptography uses two keys instead of just one,…
What type of cryptography uses two keys instead of just one, generating both a private and a public key?
What are symptoms that would lead you to believe your athlet…
What are symptoms that would lead you to believe your athlete is suffering from a SPRAIN?
You can begin working on trigger points during post-event ma…
You can begin working on trigger points during post-event massage.
When considering speech sound development, infants pass thro…
When considering speech sound development, infants pass through several consistent stages. Acknowledging that there is some variability within these stages, fill in the following blanks depicting this development starting with reflexive vocalizations and ending with jargon (in other words, you will fill in the stages between these two stages). Reflexive vocalizations, [a], [b], [c], jargon