What are some abnormal findings based on patients history

Assignment Help Science

Reference no: EM133462860

Assignment:

Mrs. C is a 75-year-old patient who underwent a left total hip replacement today. Her past medical history is positive for obesity and myocardial infarction (3 years ago). Six hours after her surgery, she begins to experience shortness of breath. Crackles are heard throughout her lung fields. Her SpO2 on 2 liters O2 per nasal cannula had been 95% but is now 88%.

What additional physical assessment data would you obtain?

Clinical Update: You complete your focused assessment.
BP 150/80 mmHg (within the patient's baseline); pulse 100 beats/min, slightly weak and irregular; respiratory rate 28 breaths/min. Pulse oximeter is reading 88% on 2 liters of oxygen per nasal cannula. The probe is properly placed.
Patient denies having chest pain and is not coughing up sputum. She states she feels as if she can't get in enough air. She appears to have significant increased work of breathing and is using her accessory muscles of inspiration.
Auscultation of heart sounds reveals S1, S2, S3. Capillary refill is 3 seconds. JVD is elevated 4 cm above sternal angle while at 45 degrees.
Assessment of extremities reveals they are cool to the touch and pink; pedal pulses +2 bilaterally; 3+ nonpitting edema is present.
Intake and output (intraoperative and postoperative amounts): total 10,000 mL intake; 2000 mL urine output.

What are some abnormal findings based on the patient's history and physical? What is your interpretation of these findings?
Based on your focused assessment, what health problems, if any, do you suspect? Provide data to support your decision.
What additional cardiovascular diagnostic procedures might you anticipate that the provider will order?

Wagner et al., Instructor's Resource Manual for High-Acuity Nursing, 7th Edition

Reference no: EM133462860

Questions Cloud

Discuss morbidity and comorbidity of the disease : Discuss morbidity and comorbidity of the disease. Discuss the impact of the chronic illness and patient morbidity on overall health of the nation.

Do you think this crisis in mental health in rural areas : Do you think this crisis in mental health in rural areas can be mitigated or even stopped in the coming years, or is it too out of control?

What is kim supposed to do now with the medication : What is Kim supposed to do now with the medication? How could Kim prevent this from occurring in the future?

Explain symptoms for anxiety-pharmacological treatments : Explain signs and symptoms for anxiety, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals..

What are some abnormal findings based on patients history : What are some abnormal findings based on the patient's history and physical? What is your interpretation of these findings?

Are patients feeling more left out of their care : Are patients feeling more left out of their care and not involved with the advancement of technology?

Explain cultural ethnocentricity and relativism : How could you explain cultural ethnocentricity and relativism? How does each affect cultural competence in the health care system?

Assess the patient on these drugs : Using the nursing process with your critical thinking and reasoning skills to indicate how you would care for your patient: (CARE PLAN).

Does she have any risk factors for a high-risk pregnancy : Does she have any risk factors for a high-risk pregnancy? Evaluate her prepregnancy weight and weight gain thus far. How much total weight should she gain?

User Account

All Pages