Exam (elaborations) NURS 267 Med-Surg Mona Hernandez Feedback Log & Sc

Exam (elaborations) NURS 267 Med-Surg Mona Hernandez Feedback Log & Sc You arrived at the patient's side. 0:00 You reviewed the patient information. 0:00 You reviewed the patient log. 0:00 You reviewed the diagnostics. 0:00 You reviewed the clinical observations.  This study source was downloaded by from CourseH on :47:53 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Mona Hernandez Jul 11, 2020 08:35 AM 0:00 You reviewed the MAR. 0:00 You reviewed the orders. 0:00 You reviewed the intake and output. 0:06 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 148/88 mm Hg. Respiration: 22. Conscious state: Appropriate. SpO2: 87%. Temp: 101 F (38.2 C) 1:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 88%. Temp: 101 F (38.1 C) 1:26 You introduced yourself. This was reasonable. 1:41 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:51 You asked the patient how she felt. She replied: 'I am feeling short of breath.' 2:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 149/89 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 88%. Temp: 101 F (38.1 C) 2:32 You attached the Pulseoximeterpulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 2:34 You asked the patient if she had any difficulty in breathing. She replied: 'Yes, for many days, but now it is worse.' 2:50 You assisted the patient into a high sitting position. This was indicated and the correct response to the patient's condition. 3:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 88%. Temp: 101 F (38.1 C) 3:50 You asked the patient what other symptoms she had. She replied: 'I feel tired and have some chest tightness.' 3:58 You asked the patient: How would you describe your coughing? Is it dry, wet, or productive? She replied: 'There has been quite a lot to cough up the last couple of days. It is worse in the morning.' 4:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 149/89 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 88%. Temp: 101 F (38.1 C) 4:35 You educated the patient about oxygen therapy. This was reasonable. 4:56 You placed a Nasal_oxygennasal oxygen cannula. This was part of        This study source was downloaded by from CourseH on :47:53 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Mona Hernandez Jul 11, 2020 08:35 AM your orders. 4:57 You turned the oxygen on. 5:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 149/89 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 88%. Temp: 101 F (38.1 C) 5:16 You educated the patient about pneumonia. This was reasonable. 5:42 You educated the patient about coughing. This was reasonable. 6:04 You educated the patient about use of incentive spirometer. This was indicated by order. 6:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 148/88 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 90%. Temp: 101 F (38.1 C) 6:45 The patient used an incentive spirometer. This was indicated by order. 7:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 90%. Temp: 101 F (38.1 C) 7:51 You put on gloves. 8:09 You encouraged coughing. This was indicated by order. 8:10 Patient status - ECG: Sinus tachycardia. Heart rate: 119. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 91%. Temp: 101 F (38.1 C) 8:20 You checked the emesis basin. This was reasonable. 8:27 You removed the gloves. 8:33 You washed your hands. 9:10 Patient status - ECG: Sinus tachycardia. Heart rate: 118. Pulse: Present. Blood pressure: 148/88 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 91%. Temp: 101 F (38.1 C) 10:10 Patient status - ECG: Sinus tachycardia. Heart rate: 118. Pulse: Present. Blood pressure: 149/89 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 91%. Temp: 101 F (38.1 C) 10:13 You checked the Temperaturetemperature at the ear. The temperature was 101 F (38.1 C). 10:22 You looked for normal breathing. She is breathing at 21 breaths per minute. The chest is moving equally. Consider assessing the patient's breathing and respiratory rate as part of the first assessments you do. 10:46 You checked the radial pulse. The pulse is strong, 120 per minute, and regular. It is correct to assess the patient's vital signs.           This study source was downloaded by from CourseH on :47:53 GMT -05:00 This study resource was shared via CourseH 7/22/2020 Feedback Log & Score — Mona Hernandez Jul 11, 2020 08:35 AM 11:10 Patient status - ECG: Sinus tachycardia. Heart rate: 118. Pulse: Present. Blood pressure: 145/87 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 91%. Temp: 101 F (38.1 C) 11:14 You measured the Bloodpressureblood pressure at 144/86 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 11:31 You put on gloves. 11:48 You examined the patient's skin. There is normal elasticity of the skin. She is sweating, and her skin is warm. 12:05 You assessed the patient's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the patient has is always important.