Week 3 Project Use the blank PDF CMS-1500 Form for

Review the following nurse’s note that was written at 0830 and the lab results that were reported at 0900. Select to highlight findings that indicate the client is not progressing as anticipated after his laparoscopic appendectomy. Select all that apply. Client reporting pain at 6 out of 10 on the FACES scale. Abdomen tender to palpation. Hypoactive bowel sounds. JP drain with 200 mL blood collected since 0630. Client given ice chips and water at 0700. Client vomited x2 after drinking water. Client passing gas. No bowel movements since surgery. Regular heart rate and rhythm. Lungs clear to auscultation bilaterally. Pulses 2+ in four extremities Capillary refill time less than 3 seconds. Client ambulating to bedside chair only. Incision sites pink with approximated edges; no drainage noted. No dressing in place. Temp 100.6.F (37.8*C), HR 100 bpm, RR 24 breaths/min, Sp02 98% on room air, BP 102/67 mm Hg, WBC 18 (4.5-13.5 103/mm3) RBC 4.8 (3.71-5.21 105/mm3), Platelets 225,000 (150,000- 450,000/mm), Hemoglobin 14.2 g/dL (10.3-13.3 g/dL), Hematocrit

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