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Case Study
Item 1 of 1 A nurse is caring for a 78-year-old client who is recovering from hip replacement surgery. Nurse's Notes Vital Signs 4/28 0900 Review of the plan of care indicates that this client will start ambulating using an assistive device. Provider made an order for a consult with the physical therapy department. Last documented report shows that client tolerated physical activity in preparation for ambulation, except drop in blood pressure when attempting an upright position. Nurse observes that client sits up and assumes dangling. A declining trend in blood pressure from supine to dangling was noted; client denies dizziness or lightheadedness when sitting and dangling. Tolerated upper arm strengthening and isometric exercises. Client reports feeling anxious about ambulating after surgery. Nurse informed client that physical therapist and nurse would be present to provide support during initial ambulation activity. Health care provider has been notified of findings and will maintain current plan of care. Physical therapy has been notified, and will see client in the afternoon. 4/28 1400 Physical therapist informed client that a walker would be used as an ambulating device while recovering from hip replacement surgery. Client expressed concern about a lack of knowledge about.
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