Question

Patient Care Begins: Current VS:    P-Q-R-S-T Pain Assessment (5th VS): T:  (oral) 97.4 ℉ P Denies pain...

Patient Care Begins:

Current VS:   

P-Q-R-S-T Pain Assessment (5th VS):

T:  (oral) 97.4 ℉

P

Denies pain

P:  112 (lying down), 120 (sitting), 132 (standing) regular rhythm

Q

R:  (regular)  28

R

BP:  106/72 (Lying down), 92/66 (sitting), 84/60 (standing up)

S

O2 sat: 91%

T

RELEVANT VS Data:

Clinical Significance:

Current Assessment:

GENERAL APPEARANCE:

Ht 4’11”, Wt 100

RESP:

Breath sounds clear and diminished in bases, short of breath.

CARDIAC:

Tachycardia, regular rhythm, no edema

NEURO:

Muscle tone generally weak

GI:

Mucous membranes pale, tongue smooth/shiny, abdomen soft, non-tender, spleen palpable.

GU:

Patient has not voided yet

SKIN:

Pale, intact w/o erythema or ecchymosis

RELEVANT Assessment Data:

Clinical Significance:

0 0
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Answer #1

Simce the patient is pale, tachycardia present, BP fluctuation posturally. The clinical signicance might be

Postural hypotension

Anemia, ?Blood loss

? Bilateral Pleural Effusioin

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