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Prioritizing Hypotheses Review the electronic health record (EHR), then answer the .​ Nurses’ Notes Date/Time Nurses’ Notes 6/1/20XX 1420 client received from recovery post needle liver biopsy; dressing over insertion site dry and intact; intravenous (IV) fluids infusing as ordered with no sign of complication; lying flat on right side and voices knowledge of needing to stay in that position; client alert and oriented to person, place, time, and situation; pain rated 2/10 and denies need for pain medication; VS: T 98.0 áµ’F (36.7 áµ’C), P 78, R 16, BP 124/70 (left arm), oxygen saturation (O2 sat) 98% on room air; abdominal circumference 98 cm at umbilicus, unchanged from pre-procedure measurement, bowel sounds present in four quadrants; medical history includes end-stage liver disease, alcohol misuse, right sided heart failure, osteoarthritis, and renal insufficiency. 6/1/20XX 1435 resting quietly with spouse at bedside; VS T 98.0 áµ’F (36.7 áµ’C), P 72, R 18, BP 128/78 (left arm), O2 sat 96% on room air; abdominal circumference 98 cm at umbilicus; denies pain or discomfort in abdomen, bowel sounds present in four quadrants. 6/1/20XX 1450 rubbing lower stomach and reports feeling severe cramping, pain rated 8/10; laying on left side with knees to chest;
SCIENCE
HEALTH SCIENCE
NURSING

 
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