Nursing care priorities

Nursing Students Student Assist

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Mr Kelly is a 36 year old man, he has returned from theatre following laparoscopic appendectomy (removal of appendix using keyhole surgery).

2) Prior to theatre Mr Kelly's observations were Temperature 36.6◦c, pulse 62, respiratory rate 18, blood pressure 125/78 mmhg, oxygen saturations 98%.

Mr Kelly's observations are now a pulse rate of 92 bpm, B/P 95/58, temperature 36.5, respiratory rate 10, oxygen saturations 93% and he is complaining of pain.

With reference to the change in the patients observations identify the patient care priorities over the next 2 hours, describe how the observations have changed from baseline and what it may mean. (250 words)

Using the nursing process outline how you will care for this patient over the next two hours. (500-700 words)

this is an assignment question i got, and im having some trouble with it ! can anyone give me some pointers on the nursing process im kind of stuck i know ihave to monitor vital signs but basically after that i dont no what to write ! adn also a reason why the patients respiratory rate went down ? i cant find anything !! really appreciate if some one could help me !

Specializes in PACU, OR.

Muno and Been there done that, it is very kind of both of you to offer the OP some in-depth assistance.

I have been watching with bated breath to see if she would at least come back and say "thank you." I will give her the benefit of the doubt, however....

wowgotalotmorereplies there then i expected ! that was my first time using this site asa lastresort, glad i did tho!! seemslike i started a bit of a debate there! but thanks everyone, sorry the question was really broad i already had 600 out of 900 words writtin on the assignment when i asked but kept the question broad to get all types of tips because i ran out things to say ! everyone helped great thanks ! and dont worry GHgonnette,i just havnt logged onto this till now so i didn get a chance to say thank you ! beauty_132,i finally read somewhere that pain could be the reason for the low resp rate, thanks for your input it backs that book up now ! happy i finally found an expination for that ! thanks everyone :)

been ther done that and muno RN, you are the kind of nurses i would like to shadow. i am in a two year RN program and goin into my second year. the one thing students hate and you should all know this is a instructor or a primary that is not willing to help you find the answers. it almost like do or die. but this is the time for us to learn and to have guidance. and the best way to do that is from you guys because personally the books dont really due much except for give you a general knowledge. we learn how to think like nurses from our fellow peers and expiernce in the end and any sort of guidance is welcome. not the brain teasers because there is really not one answer.

I had a pt just like this, and after assessing labs and checking meds it turned out that the pt had a low pain tolerance and was hitting the PCA like there was no tommorrow. we took the pca pump away for awhile had doc order a nonn opiod analgesic elevated the head of the bed and his vitals stabilized after 30 mins.

There is simple answers some times and haveing guidance is what gets you to the point of being able to decide what could be happening..... everyone here were students once you know how hard it is so take an easy on us when we ask for guidance......:)

"AMEN" :dncgcpd: I Ditto your thoughts completely, and a big "THANK YOU" to all of the...... awesome mentors! :yeah:

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