Patient Profile D.R. is a 74-year-old obese
Patient Profile D.R. is a 74-year-old obese Hispanic woman who is in the 3rd postoperative day following an open reduction internal fixation (ORIF), for repair of a left femoral neck fracture after a fall at home. Subjective Data States pain in her left hip is 4-5/10 States pain in her left calf area is 3/10 Objective Data Physical Examination Vital signs: BP 140/68, HR 64, temp 98.7°F, RR 20 Oxygen saturation 93% on room air Lungs clear all lobes Bowel sounds are present in all 4 quadrants Apical pulse: 64 & irregular Alert & oriented to person, place, & time Skin warm to touch bilateral lower extremities, slight erythema left lower extremity No edema right lower extremity, 2+ left lower extremity Pedal pulses 3+ right lower extremity, 1+ left lower extremity Calf circumference: right 8cm, left 10cm Left hip wound has staples, no signs or symptoms of infection Last bowel movement was 4 days ago Interprofessional Care Medication Administration Record Morphine sulfate 2 mg IVP every 2 hours as needed for pain 6-10/10 Lisinopril 20 mg PO daily Bisacodyl 10 mg PO daily Discussion Questions What do you suspect is occurring with D.R.? What data were used to make this determination? What are the priority nursing interventions at this time? Using SBAR, what would you report to the provider? What diagnostic studies would be used to determine the existence, location, and extent of the (answer to question 1)? What risk factors for development of (the answer to question 1) does D.R. have? What measures can be taken to prevent the (answer to question 1) in an at-risk patient? What treatment do you anticipate for D.R. after she has been confirmed to have a (answer to question 1) in her left lower extremity? What is the most serious complication of a (answer to question 1) and how would you monitor D.R. for this complication?
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
