1. Six Sigma is one of the approaches that is

Nurse’s Notes Q6: 0800: 62-year-old client brought to The nurse has performed the interventions as ordered by the emergency department by spouse after physician for the client. tripping at home 6 hours ago. Right midfoot swollen with large amount of For each assessment finding, specify if the finding indicates the bruising on toes and sides of foot. Less client’s condition has improved, showed no significant change, swelling on ankle. No external bleeding or has declined. or wounds. Reports pain 10/10 and unable to stand on foot, unable to move No Assessment without difficulty, increased pain with Improved Significant Declined Finding palpation of superior aspect of foot. Change Able to move toes and dorsiflex foot, BP 134/90 0 pedal pulse palpable, capillary refill Pain 5/10 delayed. Has history of hypertension, L meniscus repair 6 years ago, hepatitis A Capillary refill 1 O as a child. VS: T 98.4.F (36.9.C), P 110, second RR 18, BP 132/92, O2 sat 96%. Lungs 02 saturation 94% O 0 0 clear. Alert and oriented to person, RR 12 0 time, place. Takes daily amlodipine 10 mg and benazepril 20 mg. 0900: X-ray of the foot indicates a nondisplaced fracture of second and third metatarsals. Able to move toes. Capillary refill 2 seconds. Pain rated at 8/10. 1000: Health care provider applied fiberglass cast at 0930. Able to move toes. Demonstrated crutch walking

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