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It is 10:00 a.m. You administered Mrs. Jones the new Dilaudid dose of 4mg at 8:00 a.m. Her pain has been reduced to a 6/10. You got her a crossword puzzle from the volunteer’s cart and told her that you spoke to her physician, and he has increased her pain medications from 2 mg to 4 mg. You offer her a back rub and a fresh pillowcase. She tears up and says, “thank you so much for caring. I was so afraid that I was going to die from this pain that I just couldn’t sleep last night.” 72, Caucasian, Female, Obese It is noon, and Mrs. Jones wants her pain medication. She is still a 6/10. She is resting 30 minutes after receiving the medication. She opens her eyes for one moment and whispers to you, “I’m finally at a 3/10, and I am going to take a long nap. God bless you.” At 1:00 p.m., you receive the following lab values. LAB VALUES NORMAL VALUES PTT 35 sec (25-35) PT 12 sec (12-15) BUN 15 (5-25) Creat 1.0 (0.5-1.5) Sodium 138 (135-145) Potassium 3.7 (3.5-5) Glucose 120 (70-100) Ca 9.0 (8.5-10) Hgb 9.0 (13.5-17) Hct 28 (40-54) Clinical Application Questions After reading the scenario, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance. Which lab value(s) do you believe to be critical? What information would you communicate to the health care provider? Provide an example script of how you would report your concerns to the health care provider. For example: “Hi Dr. Smith, this is Nancy and I am the RN caring for Mrs. Jones in room 346. Her labs came back and her…”.
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