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

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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:

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Answer 1

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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Answer 2

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