you’ve identified for each scenario. You are sending an informative

1955 Alert and oriented 22-year-old client admitted post motor vehicle accident (rear ended) after being seen in ED. Diagnosis: Fracture of right femur, right clavicle, and right ribs 5 & 6. Seat belt contusion noted across chest. Chest wall symmetrical. No lifts, heaves, or thrills. No murmurs, gallops, or rubs are auscultated. S1 and S2 are of normal intensity. No S3, S4. EKG shows sinus tachycardia at 114/min. Pulse oximetry reading 98% on oxygen 2L/nc. Lungs clear bilaterally. Radial pulses equal +3/+4 and regular. Pedal pulses: Right +2/+4, Left +3/44. Pain of 9 on a 1-10 pain scale to right shoulder, right chest, and right leg relieved with morphine 4 mg IV. Vital signs: T 98.2°F (36.7°C), RR 24 shallow, BP 148/88. Skin warm and dry. Right arm immobilized in sling. Scheduled for open reduction and internal fixation (ORIF) right femur. 2230 Client stable following ORIF right femur. Alert, oriented. Vital signs within normal limits/afebrile. Lactated Ringers 1 liter infused. Postop Hct: 36. Fiber cast dry/intact. Post op plan: IV hydration, Cefoxitin 1 gram every 8 hours, physical therapy.

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