Family: Husband- 28; Wife- 35, Son-2 Condition: Husband works 2
Patient Data The nurse compares current patient status with and previous patient status data. History and Physical Select the 4 findings that require immediate follow-up. Female Post-op day 3 71 years of age 1930: A 71-year-old female fell 4 days ago and is now recovering from a total hip History of fall replacement. The patient’s son approaches the nurse, reporting, “Mom is confused; she 3 days post op doesn’t know why she is here and can’t remember even falling; she keeps nodding off mid- Increase in vital signs sentence.” Upon assessing the patient and reviewing previous nursing notes, the nurse Present state of lethargy observes an increase in temperature, respiratory rate, and heart rate. It was noted at 1530 that the patient was awake, alert, and oriented times 4 and following instructions. The Current cognitive function patient is currently lethargic and unable to remember events leading to her hospitalization. It is additionally noted that the patient has a history of diet-controlled type 2 diabetes, Parkinson disease being managed medically with levodopa, and acute depression that resolved 4 years ago. Family history of stroke and dementia. The patient recently experienced the loss of her older sister.
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