Lucy Legs Lucy is a 28 year

Lucy Legs Lucy is a 28 year old female who had an endometrial ablation today. She has been suffering from endometriosis since she was 16 and has been taking oral contraceptives to help control it, but the condition had gotten progressively worse and required surgery. She has no other medical history, but she is a current smoker. She had no complications during surgery. She has no incision, as the surgery was performed intra-vaginally. She has minimal bloody drainage on her perineum pad. She was nauseated when she got out of surgery. She received 4 mg of ondansetron (Zofran), and this worked well. She also reported vaginal pain 7/10 with a tolerable level of 3. She received 2 doses of 0.5mg hydromorphone (Dilaudid) during her time in PACU. She appears to be resting comfortably at this time. I have already set up her patient controlled analgesia (PCA) and instructed her on how to use it. Her VS are: BP 128/62, HR 105, SPO2 95% 2L/NC, T. 98.6 F, RR 9. What are you concerned most about in her assessment at this time?* 1 minimal drainage on perineum pad 2 HR 105 3 RR 9 While you are waiting for your patient to arrive, you begin preparing a plan of care. Based on this report, it seems like Lucy may be at risk for DVT. What in her history and/or assessment supports this risk?* 1 surgery 2 smoker 3 oral contraceptives 4 nausea 5 pain What will you do to prevent a DVT in Lucy?* 1 administer nausea medicine as needed 2 monitor end tidal CO2 levels 3 place SCDs 4 administer anticoagulant, such as enoxaparin 5 have the patient begin ambulating as soon as she is able Your patient arrives to the floor. VS are as follows: BP 90/60 HR 118 RR 6 SPO2 96% 4L/NC T 98.6 F. You attempt to arouse your patient, but she is not waking up. What intervention do you implement 1st.* 1 Sit patient up in high fowler’s position 2 Increase oxygen to 6L 3 Prepare to administer narcan 4 Prepare to administer a fluid bolus

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