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Nurse’s Notes 23: 0800: 62-year-old client brought to emergency department The client is at greatest risk for [Choose by spouse after tripping at home 6 hours ago. Right midfoot one: Peripheral Neurovascular swollen with large amount of bruising on toes and sides of Dysfunction/Impaired Physical foot. Less swelling on ankle. No external bleeding or Mobility/Pain/Stroke] as evidenced by the wounds. Reports pain 10/10 and unable to stand on foot, client’s [Choose one: Swelling/Non- unable to move without difficulty, increased pain with weightbearing/Bruising/High Blood palpation of superior aspect of foot. Able to move toes and Pressure]. dorsiflex foot, pedal pulse palpable, capillary refill delayed. Has history of hypertension, L meniscus repair 6 years ago, hepatitis A as a child. VS: T 98.4.F (36.9.C), P 110, RR 18, BP 132/92, O2 sat 96%. Lungs clear. Alert and oriented to person, time, place. Takes daily amlodipine 10 mg and benazepril 20 mg. –

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