Making the case look more difficult than it is, is used widely in most nursing programs
simply to trip us up. That's where our Critical Thinking comes into play.
Case in point: Mr. Jones was admitted in stable condition with a diagnosis of myocardial contusion and fractured ribs (4,5, & 6) on the left thorax.
Mr. Jones, states that he is experiencing difficulty breathing. I'm thinking; broken rib(s) punctured lung? Often the PT History is what we're considering relative, not the additional injuries.
Mrs. Smith stayed in the Cardiovascular Surgical Intensive Care Unit (CVSICU) for two days. On the second day, her Swan-Ganz catheter was removed, IV medications tapered off, and her Foley catheter removed. On this, the third day, Mrs. Smith was transferred to the step-down unit with a heparin lock IV in place.
Reading above, we see that Mrs.Smith has been taken off meds, she's evidently mobile and feeding, Swan is removed indicating good blood flow/pressure so she's considered stable w/no complications.
Its been 8/16 hours(your night shift) and she's experiencing chest pains. Nothing in report indicated any complications.
I'm not meaning to question any others nursing ability, just wanting to impress upon all the need for Critical Thinking, and to take the time to assess,read and read again. Afterall, their lives depend on us.