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Catherine A.

Prado BSN II – B

Mrs. Johnson was wearing her Patient is working as a call


pajamas, hair slightly center agent, usually working on
disheveled. She has edema of graveyard shift. Admitted
both hand and feet. Bilateral smoking even when pregnant,
edema was pitting, 3+. The usually 3-4 sticks a day.
edema of the hands is non- Consumes about 2-3 12 ounce of
pitting, 2+. Eye assessment brewed coffee. No alcohol
suggest she has slightly intake.
impaired visual acuity, however
no history of eye impairment. Patient was a practicing
She is slightly diaphoretic. No Catholic.
discoloration of the conjunctiva,
nailbeds of oral mucosa. Has a caring and loving
husband.
She was able to describe and
Psychosocial rated her headache. Usually eats fast-food when
duty. While at home, usually
In the 4’th day of her post orders food via delivery. Rarely
operation she thrown her eat home-cooked food. Usual
medicine cup at her husband and intake of sweetened beverages,
the nurse. And shouted at her 3-4 8-ounces of soda a day.
children.
Has seasonal rhinitis, usually
Day 5 of post-operation patient controlled with betamethasone
still expresses some degree of and loratadine. Allergic to
anger toward herself. She said chicken. No known allergies to
she deeply grieves for the loss of medications.
her child.
Still with mild tenderness on the Mild oligohydromnios was
RUQ noted.

Elimination Indwelling catheter was Patients creatinine was 2.0 to


inserted. 1.6, BUN was 35 mg/dL, and
Hgb was 8.9 grams to 9 grams.
NGT was inserted.
Upon admission the patient was Patient was positioned left-side
positioned left-side lying. lying.

Activity and Rest Patient was in complete bed rest Complete bed rest.
with bathroom assist.

Sleep Patient complained of difficulty


of sleeping.
Non-rebreather mask was Maintained on oxygen
utilized. supplementation at 5 LPM of
oxygen via non-rebreather mask.
Nasal cannula was inserted
Oxygenation SaO2: 99% via nasal cannula at
3 liters per minute of oxygen.

3.) PE/ARSON Assessment


Catherine A. Prado BSN II – B

Nutrition On fluid restriction of 1.5 liter


per day.

3.) PE/ARSON Assessment

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