SOLVED497

Incident report Lynette Donovan, a 15-year-old female African American was a passenger in a motor vehicle collision and is now admitted to the hospital with a fractured right femur. The emergency department health care provider applied a cast to the affected leg with insufficient padding. • • Lynnette told the nurses that her right leg felt numb, was swollen and looked discolored. • • The nurses recognized that these symptoms indicate impaired circulation in the extremity with the cast. • • The nurse was unable to reach Lynette’s health care provider despite several calls. • • The nurse has not notified the nursing supervisor of the patient’s situation. • • David Ortiz is a 23-year-old nursing student newly assigned to the nursing division and to Miss Donovan. His initial assessment notes that the patient’s right leg is swollen, slightly blue, and slightly malodorous. Lynette seems very anxious and upset. • • David remembers that Lynette Donovan is legally a minor. She is hurt and afraid and in an unfamiliar setting. • • She may not be comfortable speaking with the health care providers who are present, and her expressions of pain may be modified by the circumstances she is in.
SCIENCE
HEALTH SCIENCE
NURSING

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