Exam (elaborations) NURS 267 Med-Surg Vernon Watkins Feedback Log & Sc

Exam (elaborations) NURS 267 Med-Surg Vernon Watkins Feedback Log & Sc You arrived at the patient's side. 0:00 You introduced yourself. 0:05 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 with signs of pulmonary hypertension. Heart rate: 101. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 25. Conscious state: Appropriate. SpO2: 96%. Temp: 99 F (37 C)  This study source was downloaded by from CourseH on :46:31 GMT -05:00 This study resource was shared via CourseH 7/27/2019 Feedback Log & Score — Vernon Watkins Mar 26, 2018 1:05 PM 1:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 103. Pulse: Present. Blood pressure: 149/89 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 95%. Temp: 99 F (37 C) 1:11 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 1:22 You asked if the patient was allergic to anything. He replied: 'Yes, I'm allergic to penicillin.' 1:27 You looked for normal breathing. He is breathing at 24 breaths per minute. The chest is moving normally on both sides. 1:58 You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This will allow you to reassess the patient continuously. 2:09 You checked the radial pulse. The pulse is strong, 105 per minute and regular. It is correct to assess the patient's vital signs. 2:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 105. Pulse: Present. Blood pressure: 150/89 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 94%. Temp: 99 F (37 C) 2:38 You measured the blood pressure at 150/88 mm Hg. It is appropriate to monitor the patient by measuring the blood pressure. 3:03 You sat the patient up. It is correct to do so. 3:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 107. Pulse: Present. Blood pressure: 150/89 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C) 3:13 You checked the temperature at the mouth. The temperature was 99 F (37 C). 3:34 You attached a 3-lead ECG. It is correct to attach the monitor to the patient. 3:47 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. 4:00 You asked the patient if he had any pain. He replied: 'It hurts to breathe and I have pain in my leg' He also told you that he had chest pain. 4:06 You asked: How bad is the pain? He replied: 'Not too bad, it's about a 3.' 4:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 108. Pulse: Present. Blood pressure: 149/90 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 92%. Temp: 99 F (37 C) 4:14 You asked the patient if he needed anything for the pain. He replied: 'Yes. That would be great.' 4:51 You placed a nasal oxygen cannula. This was part of your orders. 4:52 You turned the oxygen on.             This study source was downloaded by from CourseH on :46:31 GMT -05:00 This study resource was shared via CourseH 7/27/2019 Feedback Log & Score — Vernon Watkins Mar 26, 2018 1:05 PM 5:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 109. Pulse: Present. Blood pressure: 155/92 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 5:20 You listened to the lungs of the patient. The breath sounds are normal. 5:37 You assessed the patient's dressing. This is correct. Assessing any dressings the patient has is always important. 5:52 You placed an oxygen mask on the patient. This was part of your orders. 6:06 You phoned the provider in order to discuss the patient. 6:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 109. Pulse: Present. Blood pressure: 155/92 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 7:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 110. Pulse: Present. Blood pressure: 151/91 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 7:33 You obtained informed consent. This is reasonable. 8:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 110. Pulse: Present. Blood pressure: 154/92 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 8:48 You requested a chest x-ray. This was correct. 9:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 110. Pulse: Present. Blood pressure: 154/93 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 10:06 You requested a spiral CT scan of the chest. Correct. This was part of your orders. 10:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 110. Pulse: Present. Blood pressure: 153/92 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 11:10 Patient status - ECG: Sinus tachyc