Documentation Assignments
1. Document Vernon Watkins’ respiratory assessment that occurred in the case.
Vernon Watkins respirations rate is 24 breath per minute and regular. His lungs were clear
upon auscultation.
2. Document the actions during the acute respiratory distress episode.
m
er as
co
Patient’s respiration rate is 24 breaths per minute
eH w
HR 110
o.
Blood Pressure 156/70rs e
ou urc
Lungs were clear upon auscultation
o
Capillary refill <2 seconds
aC s
vi y re
Skin is moist
O2: 91%
ed d
ar stu
3. Document the changes in Vernon Watkins’ vital signs throughout the scenario.
The oxygen saturation of the patient is 92% after administering the nasal canula, the
is
patient heart rate decreases from 110 to 108. But the respiration rate stayed the same.
Th
4. Identify and document key nursing diagnoses for Vernon Watkins.
sh
Acute pain related to venous thrombosis as evidence by warmth and redness at the site
Impaired ventilation related to pulmonary embolism as evidence by low O2 levels
Hypotension due to right ventricular failure resulting from PE.
© Wolters Kluwer Health | Lippincott Williams & Wilkins
This study source was downloaded by 100000827039679 from CourseHero.com on 07-12-2021 02:26:04 GMT -05:00
https://www.coursehero.com/file/55736173/Vernon-Watkins-case-study-final-docx/
1. Document Vernon Watkins’ respiratory assessment that occurred in the case.
Vernon Watkins respirations rate is 24 breath per minute and regular. His lungs were clear
upon auscultation.
2. Document the actions during the acute respiratory distress episode.
m
er as
co
Patient’s respiration rate is 24 breaths per minute
eH w
HR 110
o.
Blood Pressure 156/70rs e
ou urc
Lungs were clear upon auscultation
o
Capillary refill <2 seconds
aC s
vi y re
Skin is moist
O2: 91%
ed d
ar stu
3. Document the changes in Vernon Watkins’ vital signs throughout the scenario.
The oxygen saturation of the patient is 92% after administering the nasal canula, the
is
patient heart rate decreases from 110 to 108. But the respiration rate stayed the same.
Th
4. Identify and document key nursing diagnoses for Vernon Watkins.
sh
Acute pain related to venous thrombosis as evidence by warmth and redness at the site
Impaired ventilation related to pulmonary embolism as evidence by low O2 levels
Hypotension due to right ventricular failure resulting from PE.
© Wolters Kluwer Health | Lippincott Williams & Wilkins
This study source was downloaded by 100000827039679 from CourseHero.com on 07-12-2021 02:26:04 GMT -05:00
https://www.coursehero.com/file/55736173/Vernon-Watkins-case-study-final-docx/
