What focused assessment would you perform

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Case Study: Within hours Mr. Roberts condition deteriorates and he becomes unresponsive with Cheyne-Stokes breathing, cooling and mottling of the extremities, and eyes with glassy fixed stare and large pupils. As Mr. Roberts primary nurse you return from lunch break and go to check on him. You find him lying in bed with eyes closed as if he were sleeping peacefully. You approach him and speak his name several times without a response. His wife who is at the bedside holding his hand states, "I think he is gone now." She further states, "How will I go on without my husband? John and I have been married for 30 years. He is only 59, I wish we had some more time together. I know God knows best."

Questions:

  1. What focused assessment would you perform? What actions would you take?
  2. How would you respond therapeutically to Mrs. Roberts comment?

 

Reference no: EM133553698

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