SOLVED602

For each documentation entry, highlight findings that are concerning to the nurses. The registered nurse (RN), Licensed practical nurse (LPN), and Unlicensed assistant personnel (UAP) Team Member Recorded Documentation S. Beasley, RN Client reports chest incision pain as sharp and intermittent 8/10 on the pain scale, with zero as the lowest and ten being the highest. Incision slightly pink 24 staples intact. No drainage noted. Benadryl 50mg IV given as ordered. S. Ayika, LPN Dr. Fisher notified about right leg wound on upper thigh swollen, red, a warm to touch. Yellow and greenish drainage noted. Orders received Obtained urine culture and sent to lab. S. Cato, LPN Taught client’s spouse how to check client’s blood sugar in preparation for discharge. The client is Alert and Oriented to self, place, time and situation. A. Doctor, UAP Urine output 300ml measured and recorded on flow sheet. Client’s IV flushes easily with 5ml normal saline Gave clients his inhaler S. Akpuaka , UAP Client’s right thigh wound is wet. The wet dressing was removed and replaced with a 4X4 gauzes. Client’s pain is a 3/10 on the pain scale, with zero as the lowest and ten as highest. Informed RN of client’s pain
SCIENCE
HEALTH SCIENCE
NURSING

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